Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Johansen, CDP-T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1710455829

Jeremy Johansen, CDP-T is an Addiction (Substance Use Disorder) Counselor in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

758 St Helens Ave
Tacoma, WA 98402-3706
Phone: (253) 274-0484
Fax: (253) 274-1457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CO60872001 (WA)

Record details

NPI number1710455829
Entity typeIndividual (Type 1)
GenderMale
Credentials CDP-T
Sole proprietorNo
NPI enumeratedNovember 6, 2018
Last updated in NPPESNovember 6, 2018

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