Individual
DORETTE L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1711 SPRING AVE NE, CANTON, OH 44714-2349
(330) 454-6800
(330) 588-7176
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 453-8252
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.150089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265988
—
OH
Enumeration date
10/14/2016
Last updated
09/26/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us