Individual
CANDACE R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1007 N 2ND ST, IRONTON, OH 45638-1235
(740) 442-7045
Mailing address
1007 N 2ND ST, IRONTON, OH 45638-1235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.186953
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Enumeration date
02/17/2023
Last updated
02/04/2026
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