Individual
KELLY JOHNERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
11002 122ND LN NE, APT K82, KIRKLAND, WA 98033-4690
(209) 872-4997
Mailing address
11002 122ND LN NE, APT K82, KIRKLAND, WA 98033-4690
(209) 872-4997
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG 60685775
WA
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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