Search › Washington › 101YA0400X
Jeremy Johansen, CDP-T
NPI 1710455829 · on the registry since 2018
Practice
- Address
- 758 St Helens Ave
Tacoma, WA 98402 - Phone
- (253) 274-0484
- Fax
- (253) 274-1457
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington