Individual
JALEESA NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5855 TAYLORSVILLE RD, DAYTON, OH 45424-2670
(937) 823-8340
Mailing address
5855 TAYLORSVILLE RD, DAYTON, OH 45424-2670
(937) 823-8340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OH
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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