Individual
MR. DAVID FLYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 913-1901
(937) 913-1913
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 913-1906
(937) 913-1913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E0003965
OH
101YP2500X
Professional Counselor
Primary
E.0003965-SUPV
OH
Other
Enumeration date
10/19/2012
Last updated
09/14/2021
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