Most Relevant Information
Provider Data
| NPI Number: | 1003418104 |
| Provider Name: | JAMES MICHAEL JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/12/2020 |
| Last Updated: | 11/12/2020 |
Provider Practice Location
721 STEDMAN ST
KETCHIKAN
AK
999016632
Practice Location Phone/Fax
| Phone: | 9072257825 |
| Fax: | 9072251541 |
Provider Mailing Location
721 STEDMAN ST
KETCHIKAN
AK
999016632
Provider Mailing Phone/Fax
| Phone: | 9072257825 |
| Fax: | 9072251541 |