Individual
BRUCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3645 E MCLEOD RD, BELLINGHAM, WA 98226-8700
(360) 676-2220
Mailing address
1131 15TH ST, BELLINGHAM, WA 98225-6631
(360) 671-0819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00057016
WA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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