Individual
YULIYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11411 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3047
(253) 581-9002
Mailing address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61037213
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY61037213
UHC
WA
Enumeration date
02/17/2020
Last updated
02/17/2020
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