Mr. Kenneth R Johnson Jr., 101YM0800X
Mr. Kenneth R Johnson Jr., 101YM0800X is an Addiction (Substance Use Disorder) Counselor in Dallas, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2026
Practice location Address checks out
182 SW Academy StDallas, OR 97338-1996
Phone: (503) 623-9289
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (OR) |
|---|
Record details
| NPI number | 1730034364 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | 101YM0800X |
| Sole proprietor | Yes |
| NPI enumerated | February 27, 2026 |
| Last updated in NPPES | February 27, 2026 |
| Certification date | February 27, 2026 |
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