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Jason B Johnstone, CDP

Counselor, Addiction (Substance Use Disorder) in Bonney Lake, WA. Individual provider (NPI-1).

NPI number1043781024
StatusActive
Last updated in NPPESDec 17, 2018

Details

NPI
1043781024
Entity type
Individual (NPI-1)
Name
Jason B Johnstone
Credential
CDP
Sex
Male
Sole proprietor
No
Enumeration date
Dec 17, 2018
Last updated
Dec 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)CP60288139WAYes

Practice location

10215 214th Ave E
Bonney Lake, WA 98391-3909

Phone 253-862-7374 · Fax 253-862-0448

Mailing address

13807 69th Avenue Ct E
Puyallup, WA 98373-8721

Phone 253-691-0398

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