Individual
SAMANTHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA/PEER SUPPORT
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(937) 387-6395
Mailing address
3137 WAYNE AVE, DAYTON, OH 45420-1963
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA192921
OH
175T00000X
Peer Specialist
Primary
APS003048
OH
Other
Enumeration date
07/24/2023
Last updated
07/03/2025
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