Johnson, Robert J

Johnson, Robert J is an sole proprietor health care provider with primary practice located at 280 Bloomfield Ave , Verona NJ 07044-2426. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Johnson, Robert J can be contacted via phone (973) 857-0002.

Contact Information

Primary practice address
280 Bloomfield Ave Verona NJ 07044-2426
Fax: (973) 857-0080
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00069300 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00036600 New Jersey

Profile Details

NPI number 1174660997
LBN Legal business name Johnson, Robert J
Credentials LPC, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Apr 13th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174660997 NPPES
New Jersey Other S1764 CERT MENTAL HLT SCREENER

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