Individual provider · Type 1 NPI

Deidre Jenae Johnson, ATC, LAT

Counselor · Seattle, WA

NPI number 1912470089 Active

Practice location

515 3rd Ave
Seattle, WA 98104-2304

Call (206) 464-1570 Map

Mailing address

119 Glennwood Pl NE
Renton, WA 98056-5807

Other practice locations

  • 15810 39th Pl S Apt B13, Tukwila, WA 98188-2657 · (206) 931-8776
  • 13425 SE 30th St Ste 2C, Bellevue, WA 98005-4450 · (425) 800-4488

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XA161196040 (WA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1912470089

Deidre Jenae Johnson, ATC, LAT's National Provider Identifier is 1912470089, issued on Jan 10, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Seattle, WA. The record was last updated on May 19, 2025.