Individual
MR. MATTHEW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 FRANCISCAN WAY, GARRISON, NY 10524-3432
(845) 335-1000
Mailing address
51 MERRITT LN, NEWBURGH, NY 12550-1026
(845) 569-3090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
014019
NY
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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