Most Relevant Information
Provider Data
| NPI Number: | 1003521857 |
| Provider Name: | NIKIA TAMARA JOHNSON CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CDCA.183297 |
Most Important Dates
| Enumeration Date: | 01/17/2023 |
| Last Updated: | 01/17/2023 |
Provider Practice Location
996 N MONROE CT
XENIA
OH
453851860
Practice Location Phone/Fax
| Phone: | 9377088348 |
| Fax: |
Provider Mailing Location
PO BOX 212
XENIA
OH
453850212
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |