STAR JOHNSON, SUDP
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1235783366
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | No | CG60987591 (WA) |
| Counselor | 101Y00000X | No | CO61000223 (WA) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | CP61505739 (WA) |
Frequently Asked Questions
NPI 1235783366 is the National Provider Identifier for STAR JOHNSON, SUDP, a Counselor - Addiction (Substance Use Disorder) provider located in Aberdeen, WA. This NPI was enumerated on July 26, 2019.
STAR JOHNSON, SUDP practices at 1812 SUMNER AVE, Aberdeen, WA 98520.
Quick Facts
- NPI
- 1235783366
- Type
- Individual
- Enumerated
- Jul 26, 2019
- Last Updated
- Sep 9, 2025
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