Individual
JACOB MURRAY JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 696-2991
(206) 933-7150
Mailing address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60822461
WA
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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