Individual
MS. CONNIE R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
(503) 831-1726
Mailing address
8175 HIGHLAND RD, INDEPENDENCE, OR 97351-9446
(541) 740-1518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
10/24/2024
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