Search › Ohio › 101YA0400X
Kelsey Johnson, CDCA,QMHS
NPI 1689169419 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1071 Tong Hollow Rd
Bainbridge, OH 45612 - Phone
- (740) 634-3094
- Organisation at this address
- Lighthouse Youth Services Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 147
Additional practice sites
- 100 Elmwood Park Dr Ste 201, Dayton, OH
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 171M00000X
101Y00000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio