person
Mr. Johnny Shaw
Addiction (Substance Use Disorder) Counselor in Columbus, Ohio
NPI 1194310318

Johnny Shaw is an Addiction (Substance Use Disorder) Counselor based in Columbus, OH and is specialized in Addiction (Substance Use Disorder). Johnny Shaw practices in Columbus, OH. The NPI Number for Johnny Shaw is 1194310318 and holds a License No. CDCA.175616 (Ohio).

The current practice location address for Johnny Shaw is 1547 W Broad St, Columbus, OH and can be reached out via phone at 614-352-2620 and via fax at 614-675-2577.

Location: 1547 W Broad St, Columbus, OH, 43222-1043
person
Provider Profile Details
NPI Number
1194310318
Provider Name
Johnny Shaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
1547 W Broad St, Columbus, OH, 43222-1043
Phone Number
614-352-2620
Fax Number
614-675-2577
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1547 W Broad St
City
State
Zip
43222-1043
Phone Number
614-352-2620
Fax Number
614-675-2577
person
Provider Business Mailing Address Details
Address
1547 W Broad St
City
State
Zip
43222-1043
Phone Number
614-352-2620
Fax Number
614-675-2577
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.175616 (Mississippi)
Definition
Definition to come...
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