Individual provider · Type 1 NPI

Katherine Marie Johnson, CADC II, QMHA II, CR

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1487324406 Active

Practice location

1 Serenity Lane
Coburg, OR 97408

Fax (541) 735-6512

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X21-CRM-568 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1487324406

Katherine Marie Johnson, CADC II, QMHA II, CR's National Provider Identifier is 1487324406, issued on Sep 20, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Sep 21, 2026.