IndividualActive
Anthony Johnson
NPI 1376015222 · Addiction (Substance Use Disorder) Counselor · Moncks Corner, SC
Provider details
- NPI number
- 1376015222
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 173 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
306 Airport Drive
Moncks Corner, SC 29461
Phone: (843) 761-8272
Approximate (ZIP-level) locationGet directions
Mailing address
306 Airport Dr
Moncks Corner, SC 29461-2629
Registry dates
- Enumerated
- 2018-12-17
- Last updated
- 2018-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.