Individual
ERIC ANDREW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLADC
Contact information
Practice address
301 S 70TH ST # 313, LINCOLN, NE 68510-2469
(402) 309-6981
Mailing address
2801 KIPLING CIR, LINCOLN, NE 68516-2752
(402) 309-6981
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1733
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P-1733
STATE PROFESSIONAL LICENSE-PLADC
NE
Enumeration date
11/05/2019
Last updated
06/18/2020
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