Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Justin Johnson

Individual provider Peer Specialist · NPI 1083469225

Charles Justin Johnson is a Peer Specialist in Louisa, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2024

Practice location Address checks out

125 S Main Cross St
Louisa, KY 41230-1065
Phone: (606) 638-0938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (KY)

Record details

NPI number1083469225
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 22, 2024
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address125 S Main Cross St, Louisa, KY 41230-1065

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