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NPI Code Detail

MEDICARE: KRISTA JOHNS CDCA

MEDICARE:   KRISTA  JOHNS  CDCA
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
1101YA0400XAddiction (Substance Use Disorder) Counselor195145OH

General Provider Information

NPI Number : 1427900935
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA JOHNS CDCA
Provider Business Mailing Address
First Line : 682 HAWTHORNE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45205-2398
Country : US
Telephone Number : 513-921-1613
Fax Number : 513-921-4244
Provider Business Practice Location Address
First Line : 682 HAWTHORNE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45205-2398
Country : US
Telephone Number : 513-921-1613
Fax Number : 513-921-4244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ KRISTA JOHNS CDCA” Practice Location

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