Female

Shawnti Johnson MSW, LICSW

Mental Health Counselor in Bothell, WA(View on Map)

Full Name

Shawnti Johnson MSW, LICSW

NPI Number

1689198400

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/02/2017

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

LW60827453

Contact
Information

Purpose

Mailing
Location

Address

15127 36TH DR SE
15127 36TH DR SE

City

Bothell
Bothell

State

WA
WA

Postal Code

98012-6148
98012-6148

Country

US
US

Telephone Number

(425) 780-6045
(425) 780-6045

Identifiers

Identifier

LW60827463

Identifier State

WA

Identifier Issuer

LICENSED INDEPENDENT CLINICAL SOCIAL WORKER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/05/2023

Provider Address

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