Jenny Johnson, LPCC-S, LICDC-CS | |
10921 Reed Hartman Hwy Ste 133, Blue Ash, OH 45242-2851 | |
(513) 984-9838 | |
Not Available |
Full Name | Jenny Johnson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 10921 Reed Hartman Hwy Ste 133, Blue Ash, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689029175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.121099-CS (Ohio) | Secondary |
101YP2500X | Counselor - Professional | E.1901081-SUPV (Ohio) | Primary |
Entity Name | Counseling Source Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639438518 PECOS PAC ID: 6709772387 Enrollment ID: O20170607001140 |
Mailing Address | Practice Location Address |
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Jenny Johnson, LPCC-S, LICDC-CS 65 Steam Furnace Rd, Peebles, OH 45660-1014 Ph: () - | Jenny Johnson, LPCC-S, LICDC-CS 10921 Reed Hartman Hwy Ste 133, Blue Ash, OH 45242-2851 Ph: (513) 984-9838 |
Celeste V Dennis, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9754 Kenwood Rd, Suite B, Blue Ash, OH 45242 Phone: 513-445-8445 Fax: 513-759-7013 | |
Mrs. Bethany Irene Puliafico, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10921 Reed Hartman Hwy Ste 133, Blue Ash, OH 45242 Phone: 513-984-9838 | |
Katheryn A. Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10921 Reed Hartman Hwy Ste 133, Blue Ash, OH 45242 Phone: 513-984-9838 | |
Gabriella Wilkinson, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9420 Towne Square Ave Ste 23, Blue Ash, OH 45242 Phone: 513-400-4613 | |
Karen Boehler, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 11155 Centennial Ave, Blue Ash, OH 45242 Phone: 412-992-1657 | |
Barbara J Davis, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10921 Reed Hartman Hwy Ste 133, Blue Ash, OH 45242 Phone: 513-984-9838 | |
Thomas Price Lewis Jr., C-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 10921 Reed Hartman Hwy Ste 133, Blue Ash, OH 45242 Phone: 513-984-9838 |