Individual provider · Type 1 NPI

Charles R. Johnson, LCDC II

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1376625384 Active

Practice location

4100 W 3rd St, Veterans Medical Center
Dayton, OH 45428-9000

Call (937) 268-6511 Map

Mailing address

1446 Cornell Dr
Dayton, OH 45406-4726

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDC II 991546 (OH)

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

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About NPI 1376625384

Charles R. Johnson, LCDC II's National Provider Identifier is 1376625384, issued on Oct 19, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Jul 8, 2007.