Individual
MR. LEVI SIGHEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCADC
Contact information
Practice address
70 MERTZ AVE, HILLSIDE, NJ 07205-1622
(201) 471-1658
Mailing address
70 MERTZ AVE, HILLSIDE, NJ 07205-1622
(201) 471-1658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37LC00380400
NJ
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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