Individual
RENEE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
4324 A ST, TACOMA, WA 98418-7722
(360) 888-2688
Mailing address
4324 A ST, TACOMA, WA 98418-7722
(360) 888-2688
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60161718
WA
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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