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1982323945
JUSTIN JAMES JOHANNSON
SALEM, OR
NPI
1982323945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C6838)
Enumeration Date
2022-08-24
Last Update Date
2022-08-24
Business Address
Mr. JUSTIN JAMES JOHANNSON LPC
1698 LIBERTY ST SE # 170
SALEM, OR 97302-4348
Phone number: 503-559-6008
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Mailing Address
Mr. JUSTIN JAMES JOHANNSON LPC
2836 ZELKOVA CT NW
SALEM, OR 97304-3361
Phone number: 503-559-6008
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