Coleen Elizabeth Johnson, MSW, LICSW, CMHS
Marriage & Family Therapist in Mount Vernon, WA. Individual provider (NPI-1).
NPI number1164092003
StatusActive
Last updated in NPPESJul 30, 2024
Details
- NPI
- 1164092003
- Entity type
- Individual (NPI-1)
- Name
- Coleen Elizabeth Johnson
- Credential
- MSW, LICSW, CMHS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2021
- Certification date
- Jul 15, 2024
- Last updated
- Jul 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LW61501471 | WA | Yes |
| 101YM0800X | Counselor, Mental Health | SC61166287 | WA | |
| 104100000X | Social Worker | SC61166287 | WA | |
| 1041C0700X | Social Worker, Clinical | SC61166287 | WA |
Other names
- Coleen Elizabeth Payne (Former Name)
Practice location
2203 Old Highway 99 S RdMount Vernon, WA 98273-9009
Phone 360-542-8810 · Fax 360-542-8811
Mailing address
747 Westpoint CtBurlington, WA 98233-2695
Phone 360-846-7309
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Other Marriage & Family Therapist providers in Mount Vernon, WA
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All 11 Marriage & Family Therapist providers in Mount Vernon · All 1,851 providers in Mount Vernon
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