Individual
LESLIE DEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
10362 SW MCDONALD ST, TIGARD, OR 97224-4863
(503) 624-0312
(503) 639-3973
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-03-02
OR
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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