Individual
LATASHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31501 N MARGINAL DR APT C, WILLOWICK, OH 44095-4402
(216) 203-1898
Mailing address
31501 N MARGINAL DR APT C, WILLOWICK, OH 44095-4402
(216) 203-1898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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