SIDNEY YORKE JOHNSON

MOUNT VERNON, WA
NPI1336885201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61278752)
Enumeration Date2022-05-12
Last Update Date2022-05-12
Business Address
SIDNEY YORKE JOHNSON SUDPT
15837 OTTER POND DR
MOUNT VERNON, WA 98273-8548
Phone number: 907-227-6009
Mailing Address
SIDNEY YORKE JOHNSON SUDPT
15837 OTTER POND DR
MOUNT VERNON, WA 98273-8548
Phone number: 907-227-6009