Individual
RICHARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3810 196TH ST SW STE 11, LYNNWOOD, WA 98036-5746
(425) 288-4900
(425) 248-4703
Mailing address
PO BOX 12598, EVERETT, WA 98206-2598
(425) 288-4900
(425) 248-4703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60214865
WA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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