Timothy Lee Johnson JR., BS
NPI #1760975486 in Ebensburg, Pennsylvania
Provider Information
- NPI Number
- 1760975486
- Entity Type
- Individual
- Name
- Timothy Lee Johnson JR., BS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- BS
- Enumeration Date
- Jun 7, 2018
- Last Updated
- Jun 7, 2018
Practice Location
- Address
- 499 MANOR DR
- City
- Ebensburg
- State
- Pennsylvania
- ZIP Code
- 15931-4917
- Phone
- (814) 471-1801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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Organizations
| Provider Name | |
|---|---|
| Mainline Pharmacy Ebensburg LLC |
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