Individual
BRITTNEY RENAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 N CASS ST, WABASH, IN 46992-9416
(260) 569-2302
(260) 569-2305
Mailing address
3926 NEW VISION DR BLDG H, FORT WAYNE, IN 46845-1712
(260) 266-1401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
IN
Other
Enumeration date
01/10/2014
Last updated
12/08/2016
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