Individual
TYLIA C JOHNSON-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 558-5795
(360) 397-8494
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
(206) 764-0516
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CO60988238
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61448864
WA
Other
Enumeration date
06/13/2022
Last updated
05/10/2024
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