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Persephone Johansson
Mental Health Counselor in Kent, Washington
NPI 1306353123

Persephone Johansson is a Mental Health Counselor based in Federal Way, WA and is specialized in Mental Health. Persephone Johansson practices in Kent, WA. The NPI Number for Persephone Johansson is 1306353123 and holds a License No. MC60736722 (Washington).

The current practice location address for Persephone Johansson is 615 W Titus St Ste 103, Kent, WA and can be reached out via phone at 860-578-6287.

Location: 615 W Titus St Ste 103, Kent, WA, 98023-3343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306353123
Provider Name
Persephone Johansson
Credential
Provider Entity Type
Individual
Gender
Female
Address
615 W Titus St Ste 103, Kent, WA, 98023-3343
Phone Number
860-578-6287
Fax Number
Provider Enumeration Date
01/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
615 W Titus St Ste 103
City
Kent
State
Washington
Zip
98032-5749
Phone Number
860-578-6287
Fax Number
person
Provider Business Mailing Address Details
Address
615 W Titus St Ste 103
City
Kent
State
Washington
Zip
98032-5749
Phone Number
860-578-6287
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC60736722 (Washington)
Definition
Definition to come...
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