Kadeem David Johnson
Kadeem David Johnson is a Counselor in Wallingford, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
35 Mark DrWallingford, CT 06492
Phone: (203) 265-0981
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Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1194286005 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2019 |
| Last updated in NPPES | July 10, 2023 |
| Certification date | July 3, 2023 |
| Mailing address | 2 Park Pl Apt 18e, Hartford, CT 06106-5016 |
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