Individual
ERIC JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4930 ENTERPRISE DR NW, WARREN, OH 44481-8706
(330) 369-8022
Mailing address
4930 ENTERPRISE DR NW, WARREN, OH 44481-8706
(330) 369-8022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.189589
OH
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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