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1467994772
TATIONIA JOHNSON
ASHLAND, KY
NPI
1467994772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 164575)
Enumeration Date
2016-11-17
Last Update Date
2016-11-17
Business Address
-- TATIONIA JOHNSON
201 22ND ST
ASHLAND, KY 41101-7803
Phone number: 606-329-8588
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Mailing Address
-- TATIONIA JOHNSON
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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