Individual provider · Type 1 NPI

Star Marie Johnson, SUDP

Addiction (Substance Use Disorder) Counselor · Aberdeen, WA

NPI number 1235783366 Active

Practice location

1812 Sumner Ave
Aberdeen, WA 98520-4602

Call (360) 584-5078 Map

Fax (844) 554-3370

Mailing address

380 W Haven Dr
Elma, WA 98541-9515

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XCG60987591 (WA)
Counselor 101Y00000XCO61000223 (WA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP61505739 (WA)

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

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About NPI 1235783366

Star Marie Johnson, SUDP's National Provider Identifier is 1235783366, issued on Jul 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Aberdeen, WA. The record was last updated on Sep 9, 2025.