Individual
BEVERLY MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP/RN
Contact information
Practice address
1520 NE RIDDELL RD # 110, BREMERTON, WA 98310-3005
(360) 228-7246
(360) 228-7247
Mailing address
1520 NE RIDDELL RD # 110, BREMERTON, WA 98310-3005
(360) 228-7246
(360) 228-7247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61559399
WA
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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