COLTEN LEWIS JOHNSON

HOMER, AK
NPI1568072858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-08-03
Last Update Date2020-08-03
Business Address
COLTEN LEWIS JOHNSON
51310 TIMBER BAY COURT
HOMER, AK 99603
Phone number: 907-373-4732
Mailing Address
COLTEN LEWIS JOHNSON
PO BOX 3255
HOMER, AK 99603-3255
Phone number: 907-460-4992