Individual
ROSEANNE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO60890642
Contact information
Practice address
2280 WA-821, YAKIMA, WA 98901
(509) 457-0990
(509) 457-0312
Mailing address
PO BOX 217, SELAH, WA 98942-0217
(509) 457-0990
(509) 457-0312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60890642
WA
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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