JEREMY RUSSELL JOHNSON

PORTLAND, OR
NPI1023517760
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R10828)
Enumeration Date2018-02-08
Last Update Date2025-04-22
Business Address
JEREMY RUSSELL JOHNSON QMHP, CRC
5441 S MACADAM AVE STE N
PORTLAND, OR 97239-6106
Phone number: 909-360-9341
Mailing Address
JEREMY RUSSELL JOHNSON QMHP, CRC
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
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