Individual
MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA , OCPSA
Contact information
Practice address
1 ELIZABETH PL STE RT1, DAYTON, OH 45417-3445
(937) 276-2176
Mailing address
1 ELIZABETH PL STE RT1, DAYTON, OH 45417-3445
(937) 276-2176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
175574
OH
405300000X
Prevention Professional
Primary
161627
OH
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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