DR. Ricky Lee Johansen JR., PH.D.
NPI #1003085309 in Lacey, Washington
Provider Information
- NPI Number
- 1003085309
- Entity Type
- Individual
- Name
- DR. Ricky Lee Johansen JR., PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- PH.D.
- Enumeration Date
- Feb 21, 2008
- Last Updated
- Feb 21, 2008
Practice Location
- Address
- 3727 PRINCETON CT SE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-4150
- Phone
- (360) 357-4707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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