Amanda Roxanne Johnson, CHA-III is a
Counselor - Addiction (substance Use Disorder) based in Ambler, Alaska. Amanda Roxanne Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
110 Main Street, Ambler, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 445-2129.
NPI number for Amanda Roxanne Johnson is 1619246063 and her current mailing address is 80 Back Street, Shungnak, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619246063.
Healthcare Provider's Profile
| Full Name | Amanda Roxanne Johnson |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 110 Main Street, Ambler, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619246063
- Provider Enumeration Date: 12/14/2011
- Last Update Date: 12/10/2014
Medical Identifiers
Medical identifiers for Amanda Roxanne Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619246063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 172V00000X | Community Health Worker | 11-1129-II (Alaska) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Roxanne Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amanda Roxanne Johnson, CHA-III
80 Back Street,
Shungnak, AK 99773
Ph: (907) 437-2138 | Amanda Roxanne Johnson, CHA-III
110 Main Street,
Ambler, AK 99786-0110
Ph: (907) 445-2129 |
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