Individual
GINA D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
257 HOPELAND ST, DAYTON, OH 45417-3420
(937) 535-7115
Mailing address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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