Individual
MARIA DOLORES REYNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
3808 S ANGELINE ST, SEATTLE, WA 98118-1712
(206) 461-4880
(206) 461-6989
Mailing address
3808 S ANGELINE ST, SEATTLE, WA 98118-1712
(206) 461-4880
(206) 461-6989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60917006
WA
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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