National Provider Identifier
Keith W. Johnson SR.
Keith W. Johnson SR. is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Niagara Falls, NY and a listed phone number of (716) 278-8110.
Profile Overview
- NPI
- 1972356053
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- April 09, 2024
- Last Updated
- April 09, 2024
Practice Location
- 1001 11Th St
- Niagara Falls, NY 14301-1201
Phone: (716) 278-8110
Mailing Address
- 800 Main St
- Niagara Falls, NY 14301-1156
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1972356053
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Keith
- Middle Name
- W.
- Name Prefix
- Mr.
- Name Suffix
- SR.
- Mailing Street Address
- 800 Main St
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14301-1156
- Mailing Country
- US
- Mailing Phone
- (716) 202-1228
- Practice Street Address
- 1001 11Th St
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14301-1201
- Practice Country
- US
- Practice Phone
- (716) 278-8110
- Enumeration Date
- April 09, 2024
- Last Updated
- April 09, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)