Robert Gerard Johnson in Grand Rapids - Addiction (substance Use Disorder)
Robert Gerard Johnson - NPI 1255465258
Robert Gerard Johnson is a Addiction (substance Use Disorder) in Grand Rapids, Michigan. Robert Gerard Johnson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Robert Gerard Johnson is 1255465258. The last update date is 2010-08-30.
Robert Gerard Johnson's current location address is 300 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6162816363 and fax number 6164555460. The mailing address for Robert Gerard Johnson is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Gerard Johnson |
|---|---|
| Address | 300 68th St Se, Grand Rapids, Michigan |
| Phone Number | 6162816363 |
| Fax Number | 6164555460 |
| Sole Proprietor | Y |
| Credentials | LPC, SPADA |
NPI Number Detail
| NPI Number | 1255465258 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2010-08-30 |
Provider Mailing Address Detail
| Address | 300 68th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495486927 |
| Phone Number | 6162816363 |
| Fax Number | 6164555460 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | C-01218 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NCFR | CERTIFIED FAMILY LIFE EDUCATOR | ||
| C-012118 CAAC | MI | CERTIFIED ADVANCED ADDICTION C | |
| 6401008579 | MI | PROFESSIONAL COUNSELOR |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert Gerard Johnson by the Centers for Medicare & Medicaid Services?
The Robert Gerard Johnson has been assigned the NPI (National Provider Identifier) 1255465258 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Robert Gerard Johnson is physically located?
The Robert Gerard Johnson is situated at the following address: 300 68Th St Se, Grand Rapids, MI 495486927.
What is Robert Gerard Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert Gerard Johnson is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255465258 to Robert Gerard Johnson?
The Robert Gerard Johnson received its 1255465258 assignment from the Centers for Medicare & Medicaid Services on 2007-03-14.
When was the information pertaining to Robert Gerard Johnson most recently updated or revised?
The details related to Robert Gerard Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2010-08-30.