Michael Ray Johnson

NPI #1992287130 in Ft Laud, Florida

Provider Information

NPI Number: 1992287130
Entity Type: Individual
Name: Michael Ray Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Sep 4, 2018
Last Updated: Sep 4, 2018

Practice Location

Address: 900 NW 31 AVE
Address 2: SUITE #2000
City: Ft Laud
State: Florida
ZIP Code: 33311
Phone: (954) 357-4896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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