Individual
ANNETTE LEANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
10920 SW BARBUR BLVD, PORTLAND, OR 97219-8600
(541) 204-2849
Mailing address
2238 NE BARBERRY CT, HILLSBORO, OR 97124-5910
(971) 341-6022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-1477
OR
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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