Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy Johnson Sr., BACHELOROFPSYCHOLO

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1891393708

Mr. Timothy Johnson Sr., BACHELOROFPSYCHOLO is an Addiction (Substance Use Disorder) Counselor in Chesterfield, South Carolina. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

207 Perry Wiley Way
Chesterfield, SC 29709
Phone: (843) 423-8292
Fax: (843) 423-8294
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1891393708
Entity typeIndividual (Type 1)
GenderMale
Credentials BACHELOROFPSYCHOLO
Sole proprietorNo
NPI enumeratedOctober 13, 2020
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022

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