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Madison Samantha Johnson
Counselor in Olympia, Washington
NPI 1609494830

Madison Samantha Johnson is a Counselor based in Olympia, WA. Madison Samantha Johnson practices in Olympia, WA. The NPI Number for Madison Samantha Johnson is 1609494830 and holds a License No. (Washington).

The current practice location address for Madison Samantha Johnson is 711 State Ave Ne, Olympia, WA and can be reached out via phone at 360-481-4565.

Location: 711 State Ave Ne, Olympia, WA, 98506-3984
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609494830
Provider Name
Madison Samantha Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
711 State Ave Ne, Olympia, WA, 98506-3984
Phone Number
360-481-4565
Fax Number
Provider Enumeration Date
07/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
711 State Ave Ne
City
Olympia
State
Washington
Zip
98506-3984
Phone Number
360-481-4565
Fax Number
person
Provider Business Mailing Address Details
Address
711 State Ave Ne
City
Olympia
State
Washington
Zip
98506-3984
Phone Number
360-481-4565
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG61177156 (Washington)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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