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1013379510
RICHARD JOHNSON
LYNNWOOD, WA
NPI
1013379510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP 60214865)
Enumeration Date
2016-03-23
Last Update Date
2016-03-23
Business Address
-- RICHARD JOHNSON
3810 196TH ST SW STE 11
LYNNWOOD, WA 98036-5746
Phone number: 425-288-4900
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Mailing Address
-- RICHARD JOHNSON
PO BOX 12598
EVERETT, WA 98206-2598
Phone number: 425-288-4900
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