AMANDA MARIE JOHNSON

DAYTON, OH
NPI1891284717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TA0400X Psychologist Addiction (Substance Use Disorder)
(Licence: OH  LCDCII.161326)
Enumeration Date2018-05-07
Last Update Date2019-01-11
Business Address
AMANDA MARIE JOHNSON LCDCII
1725 E 3RD ST
DAYTON, OH 45403-1850
Phone number: 937-387-6395
Mailing Address
AMANDA MARIE JOHNSON LCDCII
1899 LOWER BELLBROOK RD
XENIA, OH 45385-9310
Phone number: 937-613-9537