Individual
THERESA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3230 C ST STE 100, ANCHORAGE, AK 99503-3918
(907) 865-9653
Mailing address
3230 C ST STE 100, ANCHORAGE, AK 99503-3918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4612
AK
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
AK
Other
Enumeration date
04/15/2020
Last updated
07/29/2020
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