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Sidney Yorke Johnson, SUDPT
Addiction (Substance Use Disorder) Counselor in Mount Vernon, Washington
NPI 1336885201

Sidney Yorke Johnson is an Addiction (Substance Use Disorder) Counselor based in Mount Vernon, WA and is specialized in Addiction (Substance Use Disorder). Sidney Yorke Johnson practices in Mount Vernon, WA and has the professional credentials of SUDPT. The NPI Number for Sidney Yorke Johnson is 1336885201 and holds a License No. CO61278752 (Washington).

The current practice location address for Sidney Yorke Johnson is 15837 Otter Pond Dr, Mount Vernon, WA and can be reached out via phone at 907-227-6009.

Location: 15837 Otter Pond Dr, Mount Vernon, WA, 98273-8548
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Provider Profile Details
NPI Number
1336885201
Provider Name
Sidney Yorke Johnson
Credential
SUDPT
Provider Entity Type
Individual
Gender
Male
Address
15837 Otter Pond Dr, Mount Vernon, WA, 98273-8548
Phone Number
907-227-6009
Fax Number
Provider Enumeration Date
05/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO61278752 05 WA
institution
Provider Business Practice Location Address Details
Address
15837 Otter Pond Dr
City
State
Zip
98273-8548
Phone Number
907-227-6009
Fax Number
person
Provider Business Mailing Address Details
Address
15837 Otter Pond Dr
City
State
Zip
98273-8548
Phone Number
907-227-6009
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO61278752 (Washington)
Definition
Definition to come...
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