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Individual

KATELYN JOY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7409 NE HAZEL DELL AVE STE 112, VANCOUVER, WA 98665-8337
(360) 597-4048
(360) 597-4572
Mailing address
7409 NE HAZEL DELL AVE STE 112, VANCOUVER, WA 98665-8337
(360) 597-4048
(360) 597-4572

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
OR
225X00000X
Occupational Therapist
Primary
OT.OT.70049209
WA

Other

Enumeration date
07/18/2022
Last updated
02/10/2026
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