CHARLES JUSTIN JOHNSON

LOUISA, KY
NPI1083469225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2024-04-22
Last Update Date2024-04-22
Business Address
CHARLES JUSTIN JOHNSON
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
CHARLES JUSTIN JOHNSON
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938