Individual provider · Type 1 NPI

Persephone Johansson

Mental Health Counselor · Kent, WA

NPI number 1306353123 Active

Practice location

615 W Titus St Ste 103
Kent, WA 98032-5749

Call (860) 578-6287 Map

Mailing address

35416 25th Ave SW Apt 7-201
Federal Way, WA 98023-3343

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC60736722 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1306353123

Persephone Johansson's National Provider Identifier is 1306353123, issued on Jan 2, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kent, WA. The record was last updated on Jan 2, 2018.