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Individual

ELAINE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CP00005772

Contact information

Practice address
14670 NE 8TH ST STE 168, BELLEVUE, WA 98007-4127
(425) 646-4406
(425) 646-4409
Mailing address
14670 NE 8TH ST STE 168, BELLEVUE, WA 98007-4127
(425) 646-4406
(425) 646-4409

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/15/2016
Last updated
04/15/2016
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