Individual
MS. TERI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
110 W K ST, SHELTON, WA 98584-2944
(360) 426-1696
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60855528
WA
Other
Enumeration date
06/14/2017
Last updated
02/07/2024
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