Individual
COLTEN LEWIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51310 TIMBER BAY COURT, HOMER, AK 99603
(907) 373-4732
Mailing address
PO BOX 3255, HOMER, AK 99603-3255
(907) 460-4992
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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