Most Relevant Information
Provider Data
| NPI Number: | 1003341181 |
| Provider Name: | ENRICO J JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2017 |
| Last Updated: | 04/26/2017 |
Provider Practice Location
316 STATION ST
BRIDGEVILLE
PA
150171833
Practice Location Phone/Fax
| Phone: | 4122211091 |
| Fax: |
Provider Mailing Location
316 STATION ST
BRIDGEVILLE
PA
150171833
Provider Mailing Phone/Fax
| Phone: | 4122211091 |
| Fax: |