JEREMY JOHNSON

BOWLING GREEN, OH
NPI1902200660
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  120949)
Enumeration Date2014-10-09
Last Update Date2014-10-09
Business Address
-- JEREMY JOHNSON
1022 N PROSPECT ST
BOWLING GREEN, OH 43402-1335
Phone number: 419-352-5387
Mailing Address
-- JEREMY JOHNSON
PO BOX 29
BOWLING GREEN, OH 43402-0029
Phone number: 419-352-5387
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