Individual
CHARMION EBONI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HTS, OH 44118-4819
(216) 320-8250
(216) 932-8520
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HTS, OH 44111
(216) 320-8250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1700218
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2871101
—
OH
Enumeration date
11/25/2014
Last updated
03/17/2018
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