| Doctor Name: | MS. TRACY ANN JOHNSON |
| NPI Number: | 1568665578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LMHC |
| License Number: | LH60034726 |
| Business Practice Address: | 7420 Better Way Se Snoqualmie, WA - 99065 |
| Business Phone Number: | 2067244116 |
| Business Fax Number: | |
| Mailing Address: | 8290 165th Ave Ne, REDMOND |
| State: | WA |
| Postal Code: | 980523948 |
| Phone Number: | 2067244116 |
| Fax Number: | 2067244116 |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 04/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LH60034726 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |