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Individual
JORDAN JOHNSON
Active
Individual
JORDAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.179075
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
08/23/2023
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