Individual provider · Type 1 NPI

Glenn Darrell Johnson

Addiction (Substance Use Disorder) Counselor · Vancouver, WA

NPI number 1952296675 Active

Practice location

12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055

Call (360) 859-6491 Map

Fax (360) 896-4478

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2099

Other practice locations

  • 500 NE Multnomah St Ste 100, Portland, OR 97232-2099 · (360) 718-0173

Specialties and licenses

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

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

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About NPI 1952296675

Glenn Darrell Johnson's National Provider Identifier is 1952296675, issued on Jun 11, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Jun 17, 2026.