Individual
SHAUN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
26 LONGWORTH ST, NEWARK, NJ 07102-1233
(973) 449-6807
Mailing address
26 LONGWORTH ST, NEWARK, NJ 07102-1233
(973) 449-6807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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