Individual
JESSICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 11TH AVE SW, ALBANY, OR 97321-2019
(541) 791-7193
Mailing address
767 N SUNRISE DR, JEFFERSON, OR 97352-9242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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