Individual provider · Type 1 NPI

Ricky Lee Johansen Jr., PhD

Mental Health Counselor · Lacey, WA

NPI number 1003085309 Active

Practice location

3727 Princeton Ct SE
Lacey, WA 98503-4150

Call (360) 357-4707 Map

Fax (360) 357-4707

Mailing address

PO Box 3185
Lacey, WA 98509-3185

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003085309

Ricky Lee Johansen Jr., PhD's National Provider Identifier is 1003085309, issued on Feb 21, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lacey, WA. The record was last updated on Feb 21, 2008.