Provider Demographics
NPI:1942210323
Name:JOHNSON JR, ARLINGTON SANDIDGE (MHS)
Entity Type:Individual
Prefix:MR
First Name:ARLINGTON
Middle Name:SANDIDGE
Last Name:JOHNSON JR
Suffix:
Gender:M
Credentials:MHS
Other - Prefix:
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:600 COATES ST
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-3321
Mailing Address - Country:US
Mailing Address - Phone:610-348-7261
Mailing Address - Fax:
Practice Address - Street 1:1400 BLACKHORSE HILL RD
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-2040
Practice Address - Country:US
Practice Address - Phone:610-384-7711
Practice Address - Fax:610-380-2338
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor