| NPI | 1669978193 |
|---|---|
| Former Legal Business Name | FAYANNA JOHNSON MSW THERAPY & COUNSELING |
| Entity Type | Organization |
| Authorized Contact | FAYANNA JOHNSON Owner/Therapist 971-373-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: OR L7709) | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 251S00000X | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-03-24 |