Organization
ERIC RICHARD JOHNSON
Active
Other names
A Professional Association
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC R JOHNSON M.S. (OWNER)
(360) 770-8487
Entity
Organization
Contact information
Practice address
1330A S 2ND ST STE 102, MOUNT VERNON, WA 98273-4822
(360) 770-8487
(360) 336-3315
Mailing address
1330A S 2ND ST STE 102, MOUNT VERNON, WA 98273-4822
(360) 770-8487
(360) 336-3315
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LH00003649
WA
Other
Enumeration date
02/26/2007
Last updated
07/29/2008
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