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NPI Code Detail

MEDICARE: SYDNIE JOHNSON COUNSELING SERVICES LLC

MEDICARE: SYDNIE JOHNSON COUNSELING SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1063054427
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYDNIE JOHNSON COUNSELING SERVICES LLC
Provider Business Mailing Address
First Line : 100 DORCHESTER SQ N STE 102
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-7305
Country : US
Telephone Number : 614-890-8262
Fax Number :
Provider Business Practice Location Address
First Line : 100 DORCHESTER SQ N STE 102
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-7305
Country : US
Telephone Number : 614-890-8262
Fax Number :
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : SYDNIE JOHNSON
Credential : LPC
Telephone Number : 614-890-8262
Provider Enumeration Date : 10/17/2019
Last Update Date : 10/17/2019

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Directions to “SYDNIE JOHNSON COUNSELING SERVICES LLC ” Practice Location

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