Individual
MS. HEATHER J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
677 WOODLAND SQUARE LOOP SE, SUITE 1 & 4, LACEY, WA 98503-1000
(360) 820-2934
Mailing address
677 WOODLAND SQUARE LOOP SE, SUITE 1 & 4, LACEY, WA 98503-1000
(360) 820-2934
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
RC
WA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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