Individual
TRISHA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60606829
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2140277
—
WA
Enumeration date
08/09/2018
Last updated
09/08/2021
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