Individual
AUSTIN J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 COMMERCIAL ST NE STE 214, SALEM, OR 97301-4082
(971) 600-0980
Mailing address
223 COMMERCIAL ST NE STE 214, SALEM, OR 97301-4082
(971) 600-0980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10794
OR
Other
Enumeration date
01/25/2018
Last updated
04/05/2024
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