Individual provider · Type 1 NPI

Ebboni Johnson, TCADC

Addiction (Substance Use Disorder) Counselor · Jeffersontown, KY

NPI number 1497663132 Active

Practice location

1700 Cargo Ct
Jeffersontown, KY 40299-1938

Call (502) 836-6353 Map

Mailing address

6826 Fenway Rd
Louisville, KY 40258-1722

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X307013 (KY)

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

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About NPI 1497663132

Ebboni Johnson, TCADC's National Provider Identifier is 1497663132, issued on Sep 1, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jeffersontown, KY. The record was last updated on Sep 2, 2026.