Individual provider · Type 1 NPI

Larry John Johnson, CADC 1

Addiction (Substance Use Disorder) Counselor · Hillsboro, OR

NPI number 1992196687 Active

Practice location

720 SE Washington St.
Hillsboro, OR 97123

Fax (503) 648-0755

Mailing address

1027 E. Burnside St.
Portland, OR 97214

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14-P-12

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

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About NPI 1992196687

Larry John Johnson, CADC 1's National Provider Identifier is 1992196687, issued on Feb 17, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hillsboro, OR. The record was last updated on Feb 17, 2015.