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Individual
THOMAS JOHNSON
Active
Individual
THOMAS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICDC-CS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2053
DE
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.852156
OH
Other
Enumeration date
05/11/2017
Last updated
12/22/2022
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