Individual
MARISOL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, SUDPT
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
(509) 225-6313
Mailing address
210 N RIVARD RD, MOXEE, WA 98936-9809
(509) 902-2521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61614092
WA
171M00000X
Case Manager/Care Coordinator
Primary
CG70038539
WA
Other
Enumeration date
01/09/2025
Last updated
08/14/2025
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