Individual
REGINALD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC-AD
Contact information
Practice address
29466 PINTAIL DR STE 2, EASTON, MD 21601-9324
(302) 339-9900
Mailing address
804 PLEASANT PINE CIR, HARRINGTON, DE 19952-6412
(302) 339-9900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC2781
MD
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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