Individual
MICHAEL RAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 NW 31 AVE, SUITE #2000, FT LAUD, FL 33311
(954) 357-4896
(954) 357-5058
Mailing address
900 NW 31 AVE, SUITE #2000, FT LAUD, FL 33311
(954) 357-4896
(954) 357-5058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2928
FL
104100000X
Social Worker
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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