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Individual

DOROTHI CATHERINE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
105 FIR ST STE 208, LA GRANDE, OR 97850-2661
(541) 786-7068
Mailing address
301 CHERRY ST, LA GRANDE, OR 97850-2928
(541) 786-7068

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/12/2012
Last updated
10/17/2022
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