Individual provider · Type 1 NPI

Gabrielle Johnson

Addiction (Substance Use Disorder) Counselor · Bend, OR

NPI number 1023615879 Active

Practice location

155 NE Revere Ave Ste 150
Bend, OR 97701-4147

Call (541) 617-4544 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-21-813 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023615879

Gabrielle Johnson's National Provider Identifier is 1023615879, issued on Oct 5, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bend, OR. The record was last updated on Aug 23, 2021.