Individual
KATHARINE ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
(458) 201-7150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-23-2287
OR
Other
Enumeration date
01/16/2023
Last updated
04/25/2023
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