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Individual

DAVINA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
4578 GALLIA PIKE, FRANKLIN FURNACE, OH 45629-8600
(740) 351-0008
Mailing address
923 FINDLAY ST, PORTSMOUTH, OH 45662-4148

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
021052
OH
101YM0800X
Mental Health Counselor
QMHS
OH

Other

Enumeration date
11/06/2017
Last updated
11/24/2018
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