Individual provider · Type 1 NPI

Johanna M. Loughery, CDCA, RA, BA

Addiction (Substance Use Disorder) Counselor · Lebanon, OH

NPI number 1699069195 Active

Practice location

759 Columbus Ave
Lebanon, OH 45036-1754

Call (513) 932-4337 Map

Fax (513) 751-7747

Mailing address

2600 Victory Pkwy
Cincinnati, OH 45206-1711

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1699069195

Johanna M. Loughery, CDCA, RA, BA's National Provider Identifier is 1699069195, issued on Jun 2, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lebanon, OH. The record was last updated on Jun 2, 2011.