Individual
KENDALL L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
221 W 1ST AVE, SPOKANE, WA 99201-3704
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61068870
—
104100000X
Social Worker
Primary
SA61320470
WA
Other
Enumeration date
01/06/2022
Last updated
08/10/2022
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