Individual
MR. BRYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10414 BEARDSLEE BLVD, BOTHELL, WA 98011-3205
(425) 486-0658
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC61000726
WA
103T00000X
Psychologist
Primary
PY61040080
WA
Other
Enumeration date
09/24/2015
Last updated
01/03/2025
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