Individual
TARRELL K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 567-0500
Mailing address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 567-0500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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