Ricky Lee Johansen JR. PH.D.

NPI 1003085309 - Counselor - 101YM0800X

NPI Details
NPI 1003085309
Gender Male
Enumeration Date 02/21/2008
Last Updated 02/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3727 PRINCETON CT SE
LACEY WA, 98503-4150, US
Phone (360) 357-4707
Fax (360) 357-4707
Business Location
PO BOX 3185
LACEY WA, 98509-3185, US
Phone (360) 357-4707
Fax (360) 357-4707
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Dr. Ricky Lee Johansen JR. PH.D. NPI is 1003085309, taxonomy code is 101YM0800X Ricky Lee Johansen JR. PH.D. physically located at 3727 Princeton Ct Se, Lacey WA, 98503-4150. NPI Number Ricky Lee Johansen JR. PH.D. has the Individual type.

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1003085309 NPI number is provided on an as is basis without warranty of any kind. 1003085309 is maintained by the National Plan & Provider Enumeration System. The contents of Ricky Lee Johansen JR. PH.D. are for informational purposes only.