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1942924436
QUINCY B JOHNSON
VANCOUVER, WA
NPI
1942924436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
QUINCY B JOHNSON CPC
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
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Mailing Address
QUINCY B JOHNSON CPC
542 NE ANDERSON ST
VANCOUVER, WA 98665-8333
Phone number: 360-839-6813
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