Most Relevant Information
Provider Data
| NPI Number: | 1003386236 |
| Provider Name: | DESIREE BROOKE JOHNSON BA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | CG60918755 |
Most Important Dates
| Enumeration Date: | 11/30/2018 |
| Last Updated: | 11/30/2018 |
Provider Practice Location
711 E 3RD AVE
SPOKANE
WA
992022211
Practice Location Phone/Fax
| Phone: | 5098384651 |
| Fax: |
Provider Mailing Location
107 S DIVISION ST
SPOKANE
WA
992021510
Provider Mailing Phone/Fax
| Phone: | 5098384651 |
| Fax: |