| NPI | 1992522213 |
|---|---|
| Other Name | HEATHER LYNN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.189933) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |