Johnson, Samantha

Johnson, Samantha is an individual health care provider with primary practice located at 15012 Se 276Th Pl , Kent WA 98042-9129. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Samantha can be contacted via phone (206) 659-7283.

Contact Information

Primary practice address
15012 Se 276Th Pl Kent WA 98042-9129
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW61004228 Washington

Profile Details

NPI number 1831442912
LBN Legal business name Johnson, Samantha
Credentials CAP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2012
Last updated May 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831442912 NPPES
Washington Other 1041C0700X LICSW

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