Tina Marie Johnson
Counselor in Vancouver, WA. Individual provider (NPI-1).
NPI number1962067009
StatusActive
Last updated in NPPESMay 3, 2019
Details
- NPI
- 1962067009
- Entity type
- Individual (NPI-1)
- Name
- Tina Marie Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2019
- Last updated
- May 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
13500 Se 7th StVancouver, WA 98683-6909
Phone 360-699-2244
Mailing address
11611 Ne Angelo Dr Apt 35Vancouver, WA 98684-4317
Phone 360-485-2889
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