Antoine Johnson
Antoine Johnson is a Peer Specialist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.
- Licensed in
- PA
- In the registry since
- 2020
Practice location Address checks out
846 N 63rd StPhiladelphia, PA 19151-3443
Phone: (121) 538-8533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 852373 (PA) |
|---|
Record details
| NPI number | 1316545379 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 13, 2020 |
| Last updated in NPPES | October 16, 2020 |
| Certification date | October 16, 2020 |
| Mailing address | 846 N 63rd St, Philadelphia, PA 19151-3443 |
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