Individual
MS. LETITIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, CHT, CMHS
Contact information
Practice address
3050 ISSAQUAH PINE LAKE RD SE STE 335, SAMMAMISH, WA 98075-7253
(425) 891-7891
Mailing address
3020 ISSAQUAH PINE LAKE RD SE, # 335, SAMMAMISH, WA 98075-7253
(425) 891-7891
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LW60488170
WA
Other
Enumeration date
04/08/2013
Last updated
07/22/2024
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