Organization
YELLOW BRICK CLINIC PLLC
Active
Other names
Yellow Brick Clinic: ADHD, Autism, Developmental Behavioral Health, Yellow Brick Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN ELIZABETH JOHNSON DNP, PMHNP, FNP,PMHS (NURSE PRACTITIONER)
(425) 777-5467
Entity
Organization
Contact information
Practice address
DO NOT PUBLISH, RENTON, WA 98056-2715
(425) 777-5467
(833) 631-6941
Mailing address
DO NOT PUBLISH, RENTON, WA 98056-2715
(425) 736-9609
(833) 631-6941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
AP60786815
WA
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090206
—
WA
Enumeration date
08/02/2018
Last updated
04/27/2023
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