Individual provider · Type 1 NPI

Lauren Johnson, BS

Mental Health Counselor · Portland, OR

NPI number 1235675745 Active

Practice location

1904 SE Division St
Portland, OR 97202-1146

Mailing address

2960 SE 64th Ave
Portland, OR 97206-1977

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X2630956 (OR)
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1235675745

Lauren Johnson, BS's National Provider Identifier is 1235675745, issued on Jan 9, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 9, 2020.