Individual
ELIZABETH SUSAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
843 NORWOOD ST SE, SALEM, OR 97302-3231
(503) 363-2021
(503) 399-7575
Mailing address
843 NORWOOD ST SE, SALEM, OR 97302-3231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
98-07-14
OR
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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