JAKE JOHNSON

SPOKANE, WA
NPI1851939938
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  60964743)
Enumeration Date2019-12-19
Last Update Date2019-12-19
Business Address
JAKE JOHNSON
3400 W GARLAND AVE
SPOKANE, WA 99205-2119
Phone number: 509-325-2355
Mailing Address
JAKE JOHNSON
3400 W GARLAND AVE
SPOKANE, WA 99205-2119
Phone number: 509-325-2355
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