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Individual

MR. JOHNNIE CHRISTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDCA PEER SUPPORT

Contact information

Practice address
1400 E 55TH ST, CLEVELAND, OH 44103-1304
(216) 391-6672
(440) 843-1633
Mailing address
1400 E 55TH ST, CLEVELAND, OH 44103-1304
(216) 391-6672

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.162615
OH
175T00000X
Peer Specialist
Primary
0002623
OH

Other

Enumeration date
02/13/2017
Last updated
07/30/2023
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