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Organization

CENTERED MIND COUNSELING SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA BRETT JOHNSON MS, LMHC (OWNER/EXECUTIVE DIRECTOR)
(425) 269-3277
Entity
Organization

Contact information

Practice address
22717 SE 29TH ST STE D-101, SAMMAMISH, WA 98075-9532
(425) 269-3277
Mailing address
75 NW DOGWOOD ST STE B, ISSAQUAH, WA 98027-3258
(425) 269-3277

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
106H00000X
Marriage & Family Therapist
133V00000X
Registered Dietitian
163WP0808X
Psychiatric/Mental Health Registered Nurse
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
12/17/2020
Last updated
12/17/2020
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