Individual
MR. CLARK MITCHELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S. CADC II
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
Mailing address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YAO4OOX
OR
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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