Chasity Daugherty7 Johnson, LEP, NCSP
Individual provider Active NPI School Psychologist · Tenino, WA
NPI 1568041192 · NPPES record last updated Apr 2, 2021
Key facts
- NPI
- 1568041192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 3744 (CA)
- Practice address
- 500 W 2ND Ave
Tenino, WA 98589 - Phone
- (360) 264-3400
- NPI assigned
- Apr 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3744 | CA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist |
103TS0200X | 3744 | CA | Yes |
Addresses
Primary practice location
500 W 2ND Ave
Tenino, WA 98589
Mailing address
8265 Balsa Ave
Yucca Valley, CA 92284-6112
Phone (304) 416-4339
Other providers in Tenino, WA
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- Jessica Hemley
- Irene Fern Hunter
- Shirley Jeanne Johnson
- Shelley L Jones
- Leyton Endicott Jump
- Annette Kissel
- Lewis County Community Health Services
All providers in Tenino, WA · School Psychologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.