Individual
NICHOLAS DANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMNFTA
Contact information
Practice address
4122 FACTORIA BLVD SE STE 405, BELLEVUE, WA 98006-5259
(422) 559-0941
Mailing address
4122 FACTORIA BLVD SE STE 405, BELLEVUE, WA 98006-5259
(425) 590-9419
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61628944
WA
Other
Enumeration date
06/23/2023
Last updated
02/11/2025
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