Individual
BLAIRE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
975 KINGSVIEW DR, LEBANON, OH 45036-9562
(513) 228-7800
Mailing address
204 COOK RD STE 400, LEBANON, OH 45036-9600
(513) 228-7800
(513) 725-2231
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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