National Provider Identifier

Riessa Johnson

Riessa Johnson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Buffalo, NY and a listed phone number of (716) 896-7350.

NPI 1699136952Buffalo, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1699136952
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
March 15, 2016
Last Updated
March 15, 2016

Practice Location

  • 1131 Broadway St
  • Buffalo, NY 14212-1501

Phone: (716) 896-7350

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1699136952
Entity Type
Individual
Last Name
Johnson
First Name
Riessa
Mailing Street Address
1131 Broadway St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14212-1501
Mailing Country
US
Mailing Phone
(716) 896-7350
Practice Street Address
1131 Broadway St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14212-1501
Practice Country
US
Practice Phone
(716) 896-7350
Enumeration Date
March 15, 2016
Last Updated
March 15, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)