Individual
CASSIDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3430 SW 320TH ST, FEDERAL WAY, WA 98023-2292
(253) 289-6099
Mailing address
20901 79TH ST E, BONNEY LAKE, WA 98391-8772
(253) 579-7081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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