Charles R Johnson, LCDC II

NPI #1376625384 in Dayton, Ohio

Provider Information

NPI Number
1376625384
Entity Type
Individual
Name
Charles R Johnson, LCDC II
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCDC II
Enumeration Date
Oct 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4100 W 3RD ST
Address 2
VETERANS MEDICAL CENTER
City
Dayton
State
Ohio
ZIP Code
45428-9000
Phone
(937) 268-6511

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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