Individual provider · Type 1 NPI

Timothy Le'roy Johnson, REGISTERED COUNSELOR

Mental Health Counselor · Everett, WA

NPI number 1710095203 Active

Practice location

2735 10th St
Everett, WA 98201-1413

Mailing address

1724 W Marine View Dr # 107
Everett, WA 98201-2088

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRC00012680 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1710095203

Timothy Le'roy Johnson, REGISTERED COUNSELOR's National Provider Identifier is 1710095203, issued on Aug 26, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Everett, WA. The record was last updated on Jul 8, 2007.