person
Mr. Kenneth Cornell Johnson JR., CDCA
Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio
NPI 1487144952

Kenneth Cornell Johnson JR. is an Addiction (Substance Use Disorder) Counselor based in Mansfield, OH and is specialized in Addiction (Substance Use Disorder). Kenneth Cornell Johnson JR. practices in Mansfield, OH and has the professional credentials of CDCA. The NPI Number for Kenneth Cornell Johnson JR. is 1487144952 and holds a License No. 040353 (Ohio).

The current practice location address for Kenneth Cornell Johnson JR. is 91 Park Ave W, Mansfield, OH and can be reached out via phone at 567-307-7269.

Location: 91 Park Ave W, Mansfield, OH, 44906-2451
person
Provider Profile Details
NPI Number
1487144952
Provider Name
Kenneth Cornell Johnson JR.
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
91 Park Ave W, Mansfield, OH, 44906-2451
Phone Number
567-307-7269
Fax Number
Provider Enumeration Date
05/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
91 Park Ave W
City
State
Zip
44902-1630
Phone Number
567-307-7269
Fax Number
person
Provider Business Mailing Address Details
Address
91 Park Ave W
City
State
Zip
44902-1630
Phone Number
567-307-7269
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
040353 (Ohio)
Definition
Definition to come...
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