Individual
ANGELINE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21907 64TH AVE W, MOUNTLAKE TERRACE, WA 98043-2200
(425) 640-7009
Mailing address
PO BOX 1474, EDMONDS, WA 98020-1474
(206) 580-3993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61150205
WA
Other
Enumeration date
08/18/2020
Last updated
06/21/2022
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