Individual
JILL M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASSOCIATES
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
Mailing address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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