Individual provider · Type 1 NPI

Dorette L. Johnson, CDCA

Addiction (Substance Use Disorder) Counselor · Canton, OH

NPI number 1780135780 Active

Practice location

1711 Spring Ave NE
Canton, OH 44714-2349

Fax (330) 588-7176

Mailing address

625 Cleveland Ave NW
Canton, OH 44702-1805

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.150089 (OH)

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

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About NPI 1780135780

Dorette L. Johnson, CDCA's National Provider Identifier is 1780135780, issued on Oct 14, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canton, OH. The record was last updated on Sep 26, 2019.