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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHIRLEY ANN JOHNSON, OHIO LICDC-CSAND LSW

Active Sole Proprietor

SHIRLEY ANN JOHNSON, OHIO LICDC-CSAND LSW is a Addiction Medicine (Family Practice) healthcare provider located in DAYTON, Ohio. NPI 1942656244 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Family Practice) · DAYTON, OH

Registration Details

NPI Number
1942656244
Provider Type
Individual
Gender
Female
NPI Issued
May 5, 2016 (10.243873137094 yrs)
Last Updated
May 5, 2016
Licenses
LICDC-CS 933508 (OH)
LSW S0021857 (OH)
Sole Proprietor
Yes

Practice Information

Address
8658 N MAIN ST
DAYTON, OH, 454151328
Browse OH providers · Browse ZIP 45415
Phone
9377010030
Fax
9373879043
Primary Specialty
Addiction Medicine (Family Practice)
207QA0401X

Other Addiction Medicine (Family Practice) Providers in DAYTON, OH

Name Credential NPI
CHERYL P VARGAS M.D. 1326145137
JENNIFER NICOLE WHITE MD 1609995273
DR. MICHAEL DUANE JACOBSON D.O. MPH 1639390651
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.