Individual
ALICIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27750 STATE ROUTE 7, MARIETTA, OH 45750-5147
(740) 371-5160
Mailing address
27750 STATE ROUTE 7, MARIETTA, OH 45750-5147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.172029
OH
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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