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Individual
EBONY JOHNSON
Active
Individual
EBONY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LSW CFPS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002913
CO
1041C0700X
Clinical Social Worker
LSW.0009926220
CO
1041C0700X
Clinical Social Worker
SWC.0000001982
CO
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
CO
Other
Enumeration date
01/06/2023
Last updated
09/23/2026
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