person
Charles Edward Johnson, CADCII
Addiction (Substance Use Disorder) Counselor in Salem, Oregon
NPI 1720456171

Charles Edward Johnson is an Addiction (Substance Use Disorder) Counselor based in Salem, OR and is specialized in Addiction (Substance Use Disorder). Charles Edward Johnson practices in Salem, OR and has the professional credentials of CADCII. The NPI Number for Charles Edward Johnson is 1720456171 and holds a License No. 10-P-16 (Oregon).

The current practice location address for Charles Edward Johnson is 2035 Davcor St Se, Salem, OR and can be reached out via phone at 503-576-4684 and via fax at 503-361-2688.

Location: 2035 Davcor St Se, Salem, OR, 97302-1595
person
Provider Profile Details
NPI Number
1720456171
Provider Name
Charles Edward Johnson
Credential
CADCII
Provider Entity Type
Individual
Gender
Male
Address
2035 Davcor St Se, Salem, OR, 97302-1595
Phone Number
503-576-4684
Fax Number
503-361-2688
Provider Enumeration Date
09/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2035 Davcor St Se
City
State
Zip
97302-1595
Phone Number
503-576-4684
Fax Number
503-361-2688
person
Provider Business Mailing Address Details
Address
2035 Davcor St Se
City
State
Zip
97302-1595
Phone Number
503-576-4684
Fax Number
503-361-2688
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10-P-16 (Oregon)
Definition
Definition to come...
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