Individual provider · Type 1 NPI

Jessica Renee Johnson, CDCA

Addiction (Substance Use Disorder) Counselor · Mansfield, OH

NPI number 1780174185 Active

Practice location

680 Park Ave W
Mansfield, OH 44906

Fax (567) 560-5483

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.167183 (OH)

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

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About NPI 1780174185

Jessica Renee Johnson, CDCA's National Provider Identifier is 1780174185, issued on May 11, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on May 24, 2018.