Individual
JASON L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
526 XENIA AVE, DAYTON, OH 45410-1824
(937) 949-1524
Mailing address
1157 WALDEN CT, LEBANON, OH 45036-8827
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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