CLARK MITCHELL JOHNSON

SAINT HELENS, OR
NPI1720278310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  101YAO4OOx)
Enumeration Date2007-07-30
Last Update Date2007-07-30
Business Address
Mr. CLARK MITCHELL JOHNSON B.S. CADC II
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211
Mailing Address
Mr. CLARK MITCHELL JOHNSON B.S. CADC II
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211
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