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Individual

JOSHUA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PCC, LICDC-CS

Contact information

Practice address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014
(513) 939-0300
(513) 939-0310
Mailing address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014-7205
(513) 939-0300
(513) 939-0310

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
121100-CS
OH
101YM0800X
Mental Health Counselor
Primary
E.1100276
OH
101YP2500X
Professional Counselor
172761
KY

Other

Enumeration date
05/24/2016
Last updated
04/18/2024
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