Individual provider · Type 1 NPI
Kenneth Cornell Johnson Jr., CDCA
Addiction (Substance Use Disorder) Counselor · Mansfield, OH
NPI number
1487144952
Active
Practice location
91 Park Ave W
Mansfield, OH 44902-1630
Mailing address
232 Wimbledon Dr
Mansfield, OH 44906-2451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 040353 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1487144952
Kenneth Cornell Johnson Jr., CDCA's National Provider Identifier is 1487144952, issued on May 10, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on May 10, 2018.