Individual provider · Type 1 NPI

Emily Ann Johnson, QMHP-R

Mental Health Counselor · Gresham, OR

NPI number 1104419621 Active

Practice location

620 NE 2nd St
Gresham, OR 97030-7514

Fax (503) 912-5740

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X23-QMHP-R-2002 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1104419621

Emily Ann Johnson, QMHP-R's National Provider Identifier is 1104419621, issued on Feb 16, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Sep 9, 2024.