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Individual

MR. DARRICK LEE JOHNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, NA, AAC

Contact information

Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60514070
WA
390200000X
Student in an Organized Health Care Education/Training Program
NA00175153
WA

Other

Enumeration date
09/21/2011
Last updated
07/28/2016
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