| Susan C Johnson, Licsw, Pllc | |
|
513 E 8th St Port Angeles WA 98362-6221 | |
| (360) 775-9081 | |
| Not Available |
| Full Name | Susan C Johnson, Licsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 513 E 8th St, Port Angeles, Washington |
| Authorized Official Name and Position | Susan C Johnson (LICSW) |
| Authorized Official Contact | 3607759081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan C Johnson, Licsw, Pllc 526 S Liberty St Port Angeles WA 98362-6650 Ph: (859) 699-0839 | Susan C Johnson, Licsw, Pllc 513 E 8th St Port Angeles WA 98362-6221 Ph: (360) 775-9081 |
| NPI Number | 1912776972 |
|---|---|
| Provider Enumeration Date | 01/01/2024 |
| Last Update Date | 01/01/2024 |
| Certification Date | 12/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912776972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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