Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | C.1300155TRNE | OH |
N | 104100000X | Social Worker | S.0600781 | OH |
NPI | 1003014564 |
---|---|
Provider Name | Ka'ra Caprie Johnson |
First Address | Akron, OH 44314-3147 |
Second Address | Berea, OH 44017-2058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2007 |
Last Update Date | 18/06/2013 |