Individual provider · Type 1 NPI

Roderic Kenneth Johnson, CDCA

Addiction (Substance Use Disorder) Counselor · Euclid, OH

NPI number 1609377431 Active

Practice location

22639 Euclid Ave
Euclid, OH 44117-1622

Fax (216) 404-1901

Mailing address

3622 Prospect Ave E
Cleveland, OH 44115-2704

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X165698 (OH)

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

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About NPI 1609377431

Roderic Kenneth Johnson, CDCA's National Provider Identifier is 1609377431, issued on Feb 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Euclid, OH. The record was last updated on Feb 27, 2018.