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

Mr. Kenneth Cornell Johnson Jr., CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1487144952

Mr. Kenneth Cornell Johnson Jr., CDCA is an Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

91 Park Ave W
Mansfield, OH 44902-1630
Phone: (567) 307-7269
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 040353 (OH)

Record details

NPI number1487144952
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorNo
NPI enumeratedMay 10, 2018
Last updated in NPPESMay 10, 2018

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