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Individual

CLARA MARIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7415 NE 94TH AVE, VANCOUVER, WA 98662-3859
(360) 607-8985
Mailing address
7415 NE 94TH AVE, VANCOUVER, WA 98662-3859
(360) 607-8985

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NONE
WA
Enumeration date
06/24/2019
Last updated
06/24/2019
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