JEREMY JOHNSON
NPI 1902200660
Counselor - Addiction (Substance Use Disorder) in Bowling Green, OH
Active since October 09, 2014
About Jeremy Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY JOHNSON (NPI 1902200660) is an individual addiction (substance use disorder) provider in Bowling Green, Ohio, licensed in Ohio (120949) and active in the NPI registry since October 2014.
NPPES Registry Identity
NPI1902200660
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREMY JOHNSON
Location Address1022 N PROSPECT STBowling Green, OH 43402-1335
Mailing AddressPo Box 29Bowling Green, OH 43402-0029 · (419) 352-5387
Phone(419) 352-5387
Sole ProprietorYes
Enumeration DateOctober 9, 2014
✔ NPI 1902200660 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 120949
1022 N PROSPECT ST, Bowling Green, OH 43402
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902200660, enumerated as an "individual" on October 09, 2014.
The provider is located at 1022 N PROSPECT ST BOWLING GREEN, OH 43402 and the phone number is (419) 352-5387.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
