RICKY LEE JOHANSEN

LACEY, WA
NPI1003085309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2008-02-21
Last Update Date2008-02-21
Business Address
DR. RICKY LEE JOHANSEN PH.D.
3727 PRINCETON CT SE
LACEY, WA 98503-4150
Phone number: 360-357-4707
Mailing Address
DR. RICKY LEE JOHANSEN PH.D.
PO BOX 3185
LACEY, WA 98509-3185
Phone number: 360-357-4707
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