Mr. Johnny Shaw
Mr. Johnny Shaw is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2021
Practice location Address checks out
1547 W Broad StColumbus, OH 43222-1043
Phone: (614) 352-2620
Fax: (614) 675-2577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CDCA.175616 (MS) |
|---|
Record details
| NPI number | 1194310318 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2021 |
| Last updated in NPPES | March 9, 2021 |
| Certification date | March 9, 2021 |
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