Individual
DR. COURTNEY E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
5137 BLACKTAIL CT NE, OLYMPIA, WA 98516-2136
(316) 337-5432
(316) 337-5481
Mailing address
1420 MARVIN RD NE STE C313, LACEY, WA 98516-3878
(316) 337-5432
(316) 337-5481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
61442566
WA
103T00000X
Psychologist
LP1011
KS
103TC0700X
Clinical Psychologist
Primary
61442566
WA
103TC0700X
Clinical Psychologist
LP1011
KS
Other
Enumeration date
11/09/2006
Last updated
01/20/2024
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