Individual
MR. JUSTIN JAMES JOHANNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1698 LIBERTY ST SE # 170, SALEM, OR 97302-4348
(503) 559-6008
Mailing address
2836 ZELKOVA CT NW, SALEM, OR 97304-3361
(503) 559-6008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6838
OR
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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