Individual
JEFFREY CARL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 5TH AVE SW, ALBANY, OR 97321-2345
(503) 949-8959
Mailing address
PO BOX 853, ALBANY, OR 97321-0569
(503) 949-8959
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4608
OR
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
10/22/2014
Last updated
11/06/2023
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