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

Star Marie Johnson, SUDP

Individual provider Peer Specialist · NPI 1235783366

Star Marie Johnson, SUDP is a Peer Specialist in Aberdeen, Washington. Licensed in Washington. Registered with an NPI since 2019.

Licensed in
WA
In the registry since
2019
Specialties on file
3

Practice location Address checks out

1812 Sumner Ave
Aberdeen, WA 98520-4602
Phone: (360) 584-5078
Fax: (844) 554-3370
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 CP61505739 (WA)
Peer Specialist Taxonomy 175T00000X · Licence CG60987591 (WA)
Counselor Taxonomy 101Y00000X · Licence CO61000223 (WA)

Record details

NPI number1235783366
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDP
Sole proprietorNo
NPI enumeratedJuly 26, 2019
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

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