Individual
ERIC LAMAR JOHNSON
Active
Individual
ERIC LAMAR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
166234
OH
104100000X
Social Worker
S.1802791
OH
1041C0700X
Clinical Social Worker
Primary
S.1802791
OH
Other
Enumeration date
05/15/2018
Last updated
04/10/2019
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