Doctor Name: | JANICE JOHNSON |
NPI Number: | 1104207976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | C.1400412 |
Business Practice Address: | 155 N Water St Kent, OH - 442402418 |
Business Phone Number: | 3303463018 |
Business Fax Number: | |
Mailing Address: | 1671 Franklin Ave Apt 215, KENT |
State: | OH |
Postal Code: | 442404344 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/17/2015 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C.1400412 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |