Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SAMUEL LEE JOHNSON III, CAC, CCGC
Active Sole ProprietorMR. SAMUEL LEE JOHNSON III, CAC, CCGC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in HARVEY, Louisiana. NPI 1184095556 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · HARVEY, LA
Registration Details
- NPI Number
- 1184095556
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2015 (10.823817797958 yrs)
- Last Updated
- Jan 12, 2021
- License
-
010494439 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2439 MANHATTAN BLVD STE 102-4HARVEY, LA, 700585473Browse LA providers · Browse ZIP 70058
- Phone
- 5042614976
- Fax
- 5047668457
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Bus
- Additional Specialty
- Military Health Care Provider
- Additional Specialty
- Case Manager
- Additional Specialty
- Peer Specialist
Other Addiction (Substance Use Disorder) Counselor Providers in HARVEY, LA
| Name | Credential | NPI |
|---|---|---|
| SHANEEKA S HARRISON | LAC | 1639466253 |
| THEONETTE CAMERON | — | 1558805952 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.