Individual
HALEY VALENTINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6600
Mailing address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61214516
WA
101YM0800X
Mental Health Counselor
CG61392985
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO61214516
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/01/2021
Last updated
06/06/2023
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