Individual
DAVORN N. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCII
Contact information
Practice address
311 MARTIN LUTHER KING DR E, CINCINNATI, OH 45219-2581
(513) 475-5382
(513) 281-2530
Mailing address
311 MARTIN LUTHER KING DR E, CINCINNATI, OH 45219-2581
(513) 475-5382
(513) 281-2530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
141222
OH
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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