Individual
KELLI ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60569013
WA
104100000X
Social Worker
LW61083855
WA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LW61083855
WA
Other
Enumeration date
10/09/2018
Last updated
12/13/2021
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