Individual
JESSICA GLORIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDT
Contact information
Practice address
8212 S MARCH POINT RD, ANACORTES, WA 98221-8684
(603) 588-2800
(360) 588-2808
Mailing address
8212 S MARCH POINT RD, ANACORTES, WA 98221-8684
(603) 588-2800
(360) 588-2808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61012091
WA
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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