Earnest L Johnson

NPI #1174391775 in Bedford, Ohio

Provider Information

NPI Number: 1174391775
Entity Type: Individual
Name: Earnest L Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 13, 2023
Last Updated: Dec 13, 2023

Practice Location

Address: 574 CORKHILL RD APT 323
City: Bedford
State: Ohio
ZIP Code: 44146-3478
Phone: (216) 322-1644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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