Individual provider · Type 1 NPI

Lasara Johnson, CDCA PRELIMINARY

Addiction (Substance Use Disorder) Counselor · Akron, OH

NPI number 1104606078 Active

Practice location

15 Frederick Ave
Akron, OH 44310-2904

Call (330) 996-7730 Map

Mailing address

908 Dan St
Akron, OH 44310-3439

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X185957 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104606078

Lasara Johnson, CDCA PRELIMINARY's National Provider Identifier is 1104606078, issued on Sep 29, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Akron, OH. The record was last updated on Sep 29, 2023.