Individual
ALICIA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, ICDC
Contact information
Practice address
975 KINGSVIEW DR, BLDG A, LEBANON, OH 45036-9562
(513) 228-7800
(513) 228-7846
Mailing address
204 COOK RD, SUITE 400, LEBANON, OH 45036-9600
(513) 228-7800
(513) 695-2952
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC-151043
OH
1041C0700X
Clinical Social Worker
Primary
I-1600108
OH
Other
Enumeration date
02/19/2014
Last updated
04/12/2016
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