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1447895602
KRISTIE LYNN JOHNSON
CHEHALIS, WA
NPI
1447895602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP61134159)
Enumeration Date
2019-11-12
Last Update Date
2022-07-27
Business Address
KRISTIE LYNN JOHNSON CP61134159
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4776
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Mailing Address
KRISTIE LYNN JOHNSON CP61134159
WALLA WALLA STATE PENITENTIARY 1313 N 13TH AVE
WALLA WALLA, WA 99362
Phone number: 509-524-7509
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