Individual
JANNA DAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
1800 112TH AVE NE STE 150W, BELLEVUE, WA 98004-2993
(425) 698-1615
(425) 671-6198
Mailing address
1800 112TH AVE NE STE 150W, BELLEVUE, WA 98004-2993
(425) 698-1615
(425) 671-6198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60785884
WA
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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