Individual
MS. SUSAN Y. JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2895 OAK ST, EUGENE, OR 97405-3694
(541) 683-1046
Mailing address
2895 OAK ST, EUGENE, OR 97405-3694
(541) 683-1046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CO483
OR
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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