Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH R JOHNSON JR., 101YM0800X.
Active Sole ProprietorMR. KENNETH R JOHNSON JR., 101YM0800X. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in DALLAS, Oregon. NPI 1730034364 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · DALLAS, OR
Registration Details
- NPI Number
- 1730034364
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2026 (0.27289922438851 yrs)
- Last Updated
- Feb 27, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
182 SW ACADEMY STDALLAS, OR, 973381996Browse OR providers · Browse ZIP 97338
- Phone
- 5036239289
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in DALLAS, OR
| Name | Credential | NPI |
|---|---|---|
| JENNIFER LIEF | — | 1235211343 |
| MR. MARK LYNN DAVIS | CADC I | 1326166141 |
| MR. RAYMOND W HUGHEY | M.S. | 1922126754 |
| MS. KAREN SCOTT RUTHERFORD | C.A.D.C. II | 1487775607 |
| SUSAN MARIE KLEIN | — | 1023239761 |
| SERGIO A GUTIERREZ | CADC II, QMHA II | 1376764951 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.