Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johnna Layne Keck, SUDPCP-61191773

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1497207252

Johnna Layne Keck, SUDPCP-61191773 is an Addiction (Substance Use Disorder) Counselor in Ridgefield, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

21810 NE 37th Ave
Ridgefield, WA 98642-7747
Phone: (844) 777-9242
Fax: (360) 397-7477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 61191773 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CO60660639 (WA)

Record details

NPI number1497207252
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDPCP-61191773
Sole proprietorYes
NPI enumeratedOctober 27, 2016
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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