Individual
KATHERINE NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1203 IDAHO ST, LEWISTON, ID 83501-1940
(208) 848-8300
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-41467
ID
104100000X
Social Worker
SC61133193
WA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
8861806
ID
Other
Enumeration date
08/24/2020
Last updated
11/18/2024
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