Individual provider · Type 1 NPI
Ellen Maxine Johnson, M.S.
Mental Health Counselor · Bainbridge Island, WA
NPI number
1235258237
Active
Practice location
5083 Taylor Ave NE
Bainbridge Island, WA 98110-3188
Fax (206) 842-0664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LH00006614 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1235258237
Ellen Maxine Johnson, M.S.'s National Provider Identifier is 1235258237, issued on Mar 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bainbridge Island, WA. The record was last updated on Jul 8, 2007.