Provider Demographics
NPI:1902041692
Name:JOHNS, MARGARET ANN (MSW, CADCI)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:JOHNS
Suffix:
Gender:F
Credentials:MSW, CADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 790
Mailing Address - Street 2:
Mailing Address - City:STEVENSON
Mailing Address - State:WA
Mailing Address - Zip Code:98648-0790
Mailing Address - Country:US
Mailing Address - Phone:509-427-3850
Mailing Address - Fax:866-297-2364
Practice Address - Street 1:710 SW ROCK CREEK DR.
Practice Address - Street 2:
Practice Address - City:STEVENSON
Practice Address - State:WA
Practice Address - Zip Code:98648
Practice Address - Country:US
Practice Address - Phone:509-427-3850
Practice Address - Fax:866-294-2364
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR05-07-34101YA0400X
WALW601958511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)