MS. JOHANNAH CREEDON MASTERS MS, ACADA, CCDP-D
NPI 1710280078
Counselor - Addiction (Substance Use Disorder) in Hope, AR
Active since December 08, 2010
About Ms. Johannah Creedon Masters Ms, Acada, Ccdp-d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JOHANNAH CREEDON MASTERS MS, ACADA, CCDP-D (NPI 1710280078) is an individual addiction (substance use disorder) provider in Hope, Arkansas and active in the NPI registry since December 2010.
NPPES Registry Identity
NPI1710280078
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. JOHANNAH CREEDON MASTERSCredential: MS, ACADA, CCDP-D
Location Address300 E 20TH STHope, AR 71801-8217
Mailing Address2904 Arkansas BlvdTexarkana, AR 71854-2536 · (870) 773-4655 · Fax (870) 772-4650
Phone(870) 777-9051
Fax(870) 777-3104
Sole ProprietorNo
Enumeration DateDecember 8, 2010
✔ NPI 1710280078 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
300 E 20TH ST, Hope, AR 71801
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Community/Behavioral Health
300 E 20TH ST
HOPE, AR 71801
HOPE, AR 71801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710280078, enumerated as an "individual" on December 08, 2010.
The provider is located at 300 E 20TH ST HOPE, AR 71801 and the phone number is (870) 777-9051.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).