Individual provider · Type 1 NPI

Ike Johnson

Addiction (Substance Use Disorder) Counselor · Grants Pass, OR

NPI number 1679217905 Active

Practice location

1545 Harbeck Rd
Grants Pass, OR 97527-5605

Call (541) 476-2373 Map

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed

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

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About NPI 1679217905

Ike Johnson's National Provider Identifier is 1679217905, issued on Apr 22, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grants Pass, OR. The record was last updated on Jul 30, 2026.