Individual
KALA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 14TH AVENUE, LONGVIEW, WA 98632
(360) 353-9840
(360) 353-9880
Mailing address
921 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
60765173
WA
Other
Enumeration date
02/02/2016
Last updated
03/07/2019
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