Michael K Johansen, MS Valid NPI
Individual provider · Mental Health Counselor · Lynnwood, WA
- NPI
- 1275858607
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- MC60147221 (WA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-03-29
- Last updated
- 2010-03-29
Practice location
4807 196th St Sw
Lynnwood, WA 98036-6430
(425) 835-5850