Individual
DESHONNDA NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CADC
Contact information
Practice address
705 SUMMERFIELD AVE, ASBURY PARK, NJ 07712-6921
(732) 774-6886
(732) 774-8809
Mailing address
705 SUMMERFIELD AVE, ASBURY PARK, NJ 07712-6921
(732) 774-6886
(732) 774-8809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00172300
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
06/16/2021
Last updated
01/09/2023
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