Provider Demographics
NPI:1811878267
Name:JOHNSON, RASHEEN QUADIN (CDCA)
Entity type:Individual
Prefix:
First Name:RASHEEN
Middle Name:QUADIN
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 CHESTNUT AVE NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-5806
Mailing Address - Country:US
Mailing Address - Phone:380-282-3845
Mailing Address - Fax:
Practice Address - Street 1:307 CHESTNUT AVE NE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-5806
Practice Address - Country:US
Practice Address - Phone:380-282-3845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)