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Individual

MRS. DEBBIE ANN JOHNSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.ED LMHC

Contact information

Practice address
117 N 1ST ST, SUITE 54, MOUNT VERNON, WA 98273-2859
(360) 336-5465
(360) 336-5086
Mailing address
117 N 1ST ST, SUITE 54, MOUNT VERNON, WA 98273-2859
(360) 336-5465
(360) 336-5086

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00005158
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35593
REGENCE RIDER #
WA
Enumeration date
01/23/2006
Last updated
07/08/2007
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