Individual
ULYIUS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDC II, BHA III
Contact information
Practice address
733 2ND AVENUE, KOTZEBUE, AK 99752-0256
(907) 442-7640
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/24/2007
Last updated
08/18/2021
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