Individual
ANTWINE DEON JOHNSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
2131 46TH ST, PENNSAUKEN, NJ 08110-2011
(609) 707-3444
Mailing address
761 CUTHBERT BLVD, CHERRY HILL, NJ 08002-3417
(856) 890-9449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00332600
NJ
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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