Individual
CORY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 ATCHESON ST, COLUMBUS, OH 43203-1353
(614) 252-4941
Mailing address
1000 ATCHESON ST, COLUMBUS, OH 43203-1353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/12/2023
Last updated
09/13/2024
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