Individual
TOMMIE MARIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4531 READING RD FL 2, CINCINNATI, OH 45229-1229
(513) 961-3292
(513) 961-3349
Mailing address
4531 READING RD FL 2, CINCINNATI, OH 45229-1229
(513) 961-3292
(513) 961-3349
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OH
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
OH
Enumeration date
08/14/2018
Last updated
08/14/2018
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