TRAVIS IAN JOHNSON

JUNEAU, AK
NPI1841967742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-08-27
Last Update Date2021-08-27
Business Address
Mr. TRAVIS IAN JOHNSON
5594 AISEK ST.
JUNEAU, AK 99801
Phone number: 907-780-3048
Mailing Address
Mr. TRAVIS IAN JOHNSON
5597 AISEK ST
JUNEAU, AK 99801-9522
Phone number: 907-500-3044
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