Individual
CHRISTOPHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, QMHP
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 415-5884
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 415-5884
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
J52510488208
IL
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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