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Dr. Ricky Lee Johansen JR., PHD
Mental Health Counselor in Lacey, Washington
NPI 1003085309

Ricky Lee Johansen JR. is a Mental Health Counselor based in Lacey, WA and is specialized in Mental Health. Ricky Lee Johansen JR. practices in Lacey, WA and has the professional credentials of PHD. The NPI Number for Ricky Lee Johansen JR. is 1003085309 and holds a License No. (Washington).

The current practice location address for Ricky Lee Johansen JR. is 3727 Princeton Ct Se, Lacey, WA and can be reached out via phone at 360-357-4707 and via fax at 360-357-4707.

Location: 3727 Princeton Ct Se, Lacey, WA, 98509-3185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003085309
Provider Name
Ricky Lee Johansen JR.
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
3727 Princeton Ct Se, Lacey, WA, 98509-3185
Phone Number
360-357-4707
Fax Number
360-357-4707
Provider Enumeration Date
02/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3727 Princeton Ct Se
City
Lacey
State
Washington
Zip
98503-4150
Phone Number
360-357-4707
Fax Number
360-357-4707
person
Provider Business Mailing Address Details
Address
3727 Princeton Ct Se
City
Lacey
State
Washington
Zip
98503-4150
Phone Number
360-357-4707
Fax Number
360-357-4707
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Washington)
Definition
Definition to come...
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