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Mr. Larry John Johnson, CADC1
Addiction (Substance Use Disorder) Counselor in Hillsboro, Oregon
NPI 1992196687

Larry John Johnson is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Larry John Johnson practices in Hillsboro, OR and has the professional credentials of CADC1. The NPI Number for Larry John Johnson is 1992196687 and holds a License No. 14-P-12 (Oregon).

The current practice location address for Larry John Johnson is 720 Se Washington St., Hillsboro, OR and can be reached out via phone at 503-648-0753 and via fax at 503-648-0755.

Location: 720 Se Washington St., Hillsboro, OR, 97214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992196687
Provider Name
Larry John Johnson
Credential
CADC1
Provider Entity Type
Individual
Gender
Male
Address
720 Se Washington St., Hillsboro, OR, 97214
Phone Number
503-648-0753
Fax Number
503-648-0755
Provider Enumeration Date
02/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
720 Se Washington St.
City
Hillsboro
State
Oregon
Zip
97123
Phone Number
503-648-0753
Fax Number
503-648-0755
person
Provider Business Mailing Address Details
Address
720 Se Washington St.
City
Hillsboro
State
Oregon
Zip
97123
Phone Number
503-648-0753
Fax Number
503-648-0755
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
14-P-12 ()
Definition
Definition to come...
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