Individual
DEBRA FAITH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7369
(360) 993-3159
Mailing address
PO BOX 1337, VANCOUVER, WA 98666-1337
(360) 993-3159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60478668
WA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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