Individual
LESLIE JOHANNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LMFT
Contact information
Practice address
1601 114TH AVE SE, SUITE 108, BELLEVUE, WA 98004-6950
(425) 452-9767
(425) 746-9825
Mailing address
1601 114TH AVE SE, SUITE 108, BELLEVUE, WA 98004-6950
(425) 452-9767
(425) 746-9825
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00000914
WA
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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