Johnson, Addie

Johnson, Addie is an individual health care provider with primary practice located at 1811 Bethlehem Pike Suite 214-215, Flourtown PA 19031-1111. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Addie can be contacted via phone (215) 643-0200.

Contact Information

Primary practice address
1811 Bethlehem Pike Suite 214-215 Flourtown PA 19031-1111
Phone: (215) 643-0200
Fax: (215) 643-9844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC3268 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X PC 007726 Pennsylvania

Profile Details

NPI number 1205188083
LBN Legal business name Johnson, Addie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2012
Last updated Mar 7th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205188083 NPPES
Massachusetts MEDICAID 1303414
Massachusetts Other 12751349

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