Individual provider · Type 1 NPI
Secret Ann Johnston, CADC I/CRM/PSS/QMHAR
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1306517420
Active
Practice location
1631 SW Coumbia St
Portland, OR 97201
Fax (503) 231-1654
Mailing address
1776 SW Madison St
Portland, OR 97205-1715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22-CRM-891 (OR) |
| Mental Health Counselor | 101YM0800X | 23-QMHA-R-3855 (OR) |
| Peer Specialist | 175T00000X | THW000106531 (OR) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 23-01-10621 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1306517420
Secret Ann Johnston, CADC I/CRM/PSS/QMHAR's National Provider Identifier is 1306517420, issued on Sep 28, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jul 17, 2023.