LAURA S JOHNSON

COLVILLE, WA
NPI1023188224
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  RC00053049)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
-- LAURA S JOHNSON CDPT
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
Mailing Address
-- LAURA S JOHNSON CDPT
529 E. ASTOR STREET
COLVILLE, WA 99114
Phone number: 509-684-3874