Individual
KELSEY KAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LMCHA, CEDS, CD
Contact information
Practice address
413 29TH ST NE STE F, PUYALLUP, WA 98372-7050
(253) 234-7931
Mailing address
413 29TH ST NE STE F, PUYALLUP, WA 98372-7050
(253) 234-7931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC61605096
WA
133V00000X
Registered Dietitian
Primary
60408150
WA
133V00000X
Registered Dietitian
86007053
—
Other
Enumeration date
07/30/2014
Last updated
12/20/2024
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