Individual
ALAINE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1227 2ND ST, MARYSVILLE, WA 98270-4906
(360) 651-2365
Mailing address
1227 2ND ST, MARYSVILLE, WA 98270-4906
(360) 651-2365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61296721
WA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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