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Individual

CHERI LYNN JOHANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, MAC, QAP

Contact information

Practice address
6000 KANAKANAK ROAD, DILLINGHAM, AK 99576
(907) 842-5266
(907) 842-5174
Mailing address
P.O. BOX 130, 6000 KANAKANAK ROAD, BILLINGHAM, AK 99576
(907) 842-5266
(907) 842-5915

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103526
AK
104100000X
Social Worker
103526
AK

Other

Enumeration date
07/30/2012
Last updated
09/29/2022
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