Individual
KAREN COLLEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCII, NCACII, SAP
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 352-3286
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 352-3286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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