Individual
CANDICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 464-1570
Mailing address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 464-1570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3375812
WA
Other
Enumeration date
09/25/2021
Last updated
02/01/2022
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