TARA LEE JOHNSON

LONDON, OH
NPI1346080884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.188701)
Enumeration Date2024-05-31
Last Update Date2024-05-31
Business Address
TARA LEE JOHNSON
231 LAFAYETTE ST
LONDON, OH 43140-8567
Phone number: 614-901-0844
Mailing Address
TARA LEE JOHNSON
5593 GREEN BROTHERS BLVD
GALLOWAY, OH 43119-8284
Phone number: 614-209-7273