Individual
HILARY M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
788 N 2ND AVE STE A, MIDDLEPORT, OH 45760-1014
(740) 992-3965
Mailing address
788 N 2ND AVE STE A, MIDDLEPORT, OH 45760-1014
(740) 992-3965
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
167484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167484
—
OH
Enumeration date
12/07/2018
Last updated
12/07/2018
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