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Individual
SHIRLEY RENEE JOHNSON
Active
Individual
SHIRLEY RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S, LICDC-CS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
041011
OH
101YM0800X
Mental Health Counselor
E.1800985
OH
101YP2500X
Professional Counselor
Primary
E.1800985
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176372
—
OH
Enumeration date
07/11/2016
Last updated
08/27/2022
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