Individual provider · Type 1 NPI
Sophia Kaye Johnson, CDPT
Addiction (Substance Use Disorder) Counselor · Oak Harbor, WA
NPI number
1972004703
Active
Practice location
3165 WA-20 SUITE#1
Oak Harbor, WA 98277
Mailing address
300 NE 7th Ave Apt A103
Oak Harbor, WA 98277-2508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CO60488344 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972004703
Sophia Kaye Johnson, CDPT's National Provider Identifier is 1972004703, issued on Feb 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oak Harbor, WA. The record was last updated on Jun 16, 2018.