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Individual

MS. REBECCA ANN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA CADC II

Contact information

Practice address
806 NW 6TH ST, GRANTS PASS, OR 97526-1525
(541) 955-9227
(541) 955-7499
Mailing address
806 NW 6TH ST, GRANTS PASS, OR 97526-1525
(541) 955-9227
(541) 955-7499

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
97-10-33
OR

Other

Enumeration date
02/15/2016
Last updated
02/15/2016
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