Individual provider · Type 1 NPI

Kelsey Johnson, CDCA, QMHS

Addiction (Substance Use Disorder) Counselor · Bainbridge, OH

NPI number 1689169419 Active

Practice location

1071 Tong Hollow Rd
Bainbridge, OH 45612-1500

Mailing address

401 E Mcmillan St
Cincinnati, OH 45206-1922

Other practice locations

  • 100 Elmwood Park Dr Ste 201, Dayton, OH 45449-5402 · (937) 384-0580

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Counselor 101Y00000XCDCA.167279 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.167279 (OH)

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

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About NPI 1689169419

Kelsey Johnson, CDCA, QMHS's National Provider Identifier is 1689169419, issued on Jun 25, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bainbridge, OH. The record was last updated on May 12, 2020.