GLENN DARRELL JOHNSON

VANCOUVER, WA
NPI1952296675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-06-11
Last Update Date2026-06-17
Business Address
GLENN DARRELL JOHNSON
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6055
Phone number: 360-859-6491
Mailing Address
GLENN DARRELL JOHNSON
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 97232-2099
Phone number: 360-718-0173
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