| NPI | 1205383494 |
|---|---|
| Professional Name | CHARLIE JOHNS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 3108) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1348) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |