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Individual

ANGELICA DANIELLE JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, MHP, SW, CDPT

Contact information

Practice address
400 YESLER WAY, SOUND MENTAL HEALTH, SEATTLE, WA 98104-2628
(206) 240-7512
(206) 205-6325
Mailing address
1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60164722
WA
101YM0800X
Mental Health Counselor
Primary
CG60164722
WA
104100000X
Social Worker
LW60345854
WA
1041C0700X
Clinical Social Worker
LW60345854
WA

Other

Enumeration date
01/20/2011
Last updated
09/18/2013
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