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Individual

MR. ROBERT R. JOHANNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S. L.A.D.A.C.

Contact information

Practice address
418 S MAIN ST, WAYNESBORO, TN 38485-2629
(931) 722-3644
(931) 722-7972
Mailing address
1950 DOGWOOD FLATS RD, COLLINWOOD, TN 38450-4543
(931) 722-3644
(931) 722-7972

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC00316
TN

Other

Enumeration date
03/01/2007
Last updated
07/08/2007
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