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Contact Information

AMANDA M JOHNSON, LCDCII
1725 E 3RD ST
DAYTON, OH45403-1850
 Phone: 937-387-6395
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AMANDA M JOHNSON · (Female)

NPI Number 1891284717
Status Active
Credentials LCDCII
Entity Individual
Enumeration date 05/07/2018
Last updated 03/26/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OH License # I.2506279
  • OH License # LCDCII.161326
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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