Star Marie Johnson, SUDP
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 AveAberdeen, WA 98520-4602
Phone: (360) 584-5078
Fax: (844) 554-3370
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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 CP61505739 (WA) |
|---|---|
| Peer Specialist | Taxonomy 175T00000X · Licence CG60987591 (WA) |
| Counselor | Taxonomy 101Y00000X · Licence CO61000223 (WA) |
Record details
| NPI number | 1235783366 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDP |
| Sole proprietor | No |
| NPI enumerated | July 26, 2019 |
| Last updated in NPPES | September 9, 2025 |
| Certification date | September 9, 2025 |
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