Individual
ESLIE THOMAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRS, CDCA
Contact information
Practice address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 644-4095
(330) 644-2031
Mailing address
1601 S MAIN ST, AKRON, OH 44301-1664
(330) 644-4095
(330) 644-2031
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.000798
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0452494
—
OH
Enumeration date
07/21/2021
Last updated
06/21/2022
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