Individual
MR. LEROY JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3260 W HENDERSON RD, 20, COLUMBUS, OH 43220-9484
(614) 701-7085
Mailing address
3260 W HENDERSON RD, COLUMBUS, OH 43220-9484
(614) 701-7085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
163WH0200X
Home Health Registered Nurse
Primary
QW335YH6
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/30/2016
Last updated
03/25/2024
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