Individual
JOLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38401 MENTOR AVE, WILLOUGHBY, OH 44094-8752
(317) 628-9572
Mailing address
38401 MENTOR AVE, WILLOUGHBY, OH 44094-8752
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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