CHARLES R JOHNSON

DAYTON, OH
NPI1376625384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LCDC II 991546)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
-- CHARLES R JOHNSON LCDC II
4100 W 3RD ST VETERANS MEDICAL CENTER
DAYTON, OH 45428-9000
Phone number: 937-268-6511
Mailing Address
-- CHARLES R JOHNSON LCDC II
1446 CORNELL DR
DAYTON, OH 45406-4726
Phone number: 937-277-2769
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