Individual
MRS. LAURA MAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
90 NORTHWOODS BLVD, COLUMBUS, OH 43235-4719
(614) 805-7430
Mailing address
118 GRACELAND BLVD # 143, COLUMBUS, OH 43214-1530
(614) 805-7430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2103511-TRNE
OH
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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