Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Secret Ann Johnston, CADCI/CRM/PSS/QMHAR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306517420

Secret Ann Johnston, CADCI/CRM/PSS/QMHAR is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

1631 SW Coumbia St
Portland, OR 97201
Phone: (503) 231-2641
Fax: (503) 231-1654
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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 23-01-10621 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 22-CRM-891 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 23-QMHA-R-3855 (OR)
Peer Specialist Taxonomy 175T00000X · Licence THW000106531 (OR)

Record details

NPI number1306517420
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADCI/CRM/PSS/QMHAR
Sole proprietorNo
NPI enumeratedSeptember 28, 2021
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

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