LATIA JOHNSON

PORTLAND, OR
NPI1275076754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-12-01
Last Update Date2018-05-23
Business Address
LATIA JOHNSON
14600 NW CORNELL RD
PORTLAND, OR 97229
Phone number: 503-645-3581
Mailing Address
LATIA JOHNSON
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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