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Individual

DARRELL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC II, CGAC II

Contact information

Practice address
104 4TH AVE SW RM 238, ALBANY, OR 97321-2804
(541) 967-3819
Mailing address
PO BOX 17818, SALEM, OR 97305-7818
(503) 399-5597

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-03-17
OR
101YM0800X
Mental Health Counselor

Other

Enumeration date
04/21/2010
Last updated
04/03/2023
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