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1780174185
JESSICA RENEE JOHNSON
MANSFIELD, OH
NPI
1780174185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.167183)
Enumeration Date
2018-05-11
Last Update Date
2018-05-24
Business Address
JESSICA RENEE JOHNSON CDCA
680 PARK AVE W
MANSFIELD, OH 44906
Phone number: 419-528-5993
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Mailing Address
JESSICA RENEE JOHNSON CDCA
680 PARK AVE W
MANSFIELD, OH 44906-3706
Phone number: 419-528-5993
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