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Organization
MIND OVER MATTER HEALTHCARE INC.
Active
Organization
MIND OVER MATTER HEALTHCARE INC.
Active
Other names
Mind Over Matter Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON RUSSELL JOHNSON DNP, PMHNP-BC (PROVIDER)
(360) 623-4181
Entity
Organization
Contact information
Practice address
677 WOODLAND SQUARE LOOP SE # B8, LACEY, WA 98503-1000
(360) 623-4181
(360) 539-0972
Mailing address
677 WOODLAND SQUARE LOOP SE # B8, LACEY, WA 98503-1000
(360) 623-4181
(360) 539-0972
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/26/2024
Last updated
05/07/2026
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