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1659715654
TAMATHA L JOHNSON
MEDFORD, OR
NPI
1659715654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C3700)
Enumeration Date
2013-04-20
Last Update Date
2022-12-12
Business Address
TAMATHA L JOHNSON MS, LPC
15 CRATER LAKE AVE
MEDFORD, OR 97504
Phone number: 541-621-5558
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Mailing Address
TAMATHA L JOHNSON MS, LPC
15 CRATER LAKE AVE
MEDFORD, OR 97504-7444
Phone number: 541-621-5558
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