| Doctor Name: | ANNETTE JANELLE JOHNSON |
| NPI Number: | 1417195538 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.I.S.W |
| License Number: | I.0800283 |
| Business Practice Address: | 11271 State Route 762 Orient, OH - 431469005 |
| Business Phone Number: | 6142143658 |
| Business Fax Number: | |
| Mailing Address: | 1243 Payne Loop, BLACKLICK |
| State: | OH |
| Postal Code: | 430048788 |
| Phone Number: | 6142143658 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2009 |
| NPI Last Update Date: | 09/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I.0800283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |