MR. Larry John Johnson, CADC 1

NPI #1992196687 in Hillsboro, Oregon

Provider Information

NPI Number: 1992196687
Entity Type: Individual
Name: MR. Larry John Johnson, CADC 1
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CADC 1
Enumeration Date: Feb 17, 2015
Last Updated: Feb 17, 2015

Practice Location

Address: 720 SE WASHINGTON ST.
City: Hillsboro
State: Oregon
ZIP Code: 97123
Phone: (503) 648-0753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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