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Individual

DAVID ALAN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1075 E PARK BLVD, BOISE, ID 83712-7722
(208) 381-5970
(208) 381-5971
Mailing address
1014 MAIN ST, VANCOUVER, WA 98660-3151
(360) 695-1014

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG60882583
WA
1041C0700X
Clinical Social Worker
Primary
LMSW-43027
ID

Other

Enumeration date
09/11/2018
Last updated
01/16/2024
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