Individual
COLE ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, MHP, CMHS
Contact information
Practice address
575 E MAIN STREET, ELMA, WA 98541
(360) 482-5358
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506
(360) 482-5358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60651109
WA
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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