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NPI Code Detail

MEDICARE: MRS. HEIDI A. JOHNSON MA, LMHC

MEDICARE:  MRS. HEIDI A. JOHNSON  MA, LMHC
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 CounselorLH00009499WA

General Provider Information

NPI Number : 1801080007
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEIDI A. JOHNSON MA, LMHC
Provider Business Mailing Address
First Line : 600 N 36TH ST STE 305
Second Line :
City : SEATTLE
State : WA
Zip : 98103-8698
Country : US
Telephone Number : 206-291-5953
Fax Number :
Provider Business Practice Location Address
First Line : 600 N 36TH ST STE 305
Second Line :
City : SEATTLE
State : WA
Zip : 98103-8698
Country : US
Telephone Number : 206-291-5953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2007
Last Update Date : 08/30/2007

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Directions to “ MRS. HEIDI A. JOHNSON MA, LMHC” Practice Location

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