Individual
BIANCA PAIGE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWT
Contact information
Practice address
3650 MUDDY CREEK RD STE 100, CINCINNATI, OH 45238-2058
(513) 347-0375
Mailing address
311 ALBERT SABIN WAY, CINCINNATI, OH 45229-2838
(513) 558-9006
(513) 558-3880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
S.2001462-TRNE
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDCA.189930
—
OH
05
—
S.2001462-TRNE
—
OH
Enumeration date
11/04/2020
Last updated
09/26/2024
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