Individual
ESSENCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCIII
Contact information
Practice address
100 NOE BIXBY RD, COLUMBUS, OH 43213-1460
(614) 892-2454
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
S.1802419
OH
Other
Enumeration date
08/04/2017
Last updated
10/10/2018
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