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Individual
WILLAMETTE J JOHNSON
Active
Individual
WILLAMETTE J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA-II
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
24-QMHA-I-004369
OR
101YM0800X
Mental Health Counselor
Primary
26-QMHA-II-000589
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500832475
—
OR
Enumeration date
09/21/2023
Last updated
05/12/2026
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