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NPI Code Detail

MEDICARE: AUZHINAE JOHNSON-BENNETT

MEDICARE:   AUZHINAE  JOHNSON-BENNETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorWA

General Provider Information

NPI Number : 1053243378
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUZHINAE JOHNSON-BENNETT
Provider Business Mailing Address
First Line : 1210 TACOMA AVE S APT 704
Second Line :
City : TACOMA
State : WA
Zip : 98402-2031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9330 59TH AVE SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98499-2858
Country : US
Telephone Number : 253-253-5817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ AUZHINAE JOHNSON-BENNETT ” Practice Location

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