JAN GARY JOHNSON

LONGVIEW, WA
NPI1730285008
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WA  2721)
Enumeration Date2006-09-15
Last Update Date2007-07-08
Business Address
Dr. JAN GARY JOHNSON Ph.D.
945 11TH AVE SUITE B
LONGVIEW, WA 98632-2555
Phone number: 360-414-8600
Mailing Address
Dr. JAN GARY JOHNSON Ph.D.
945 11TH AVE SUITE B
LONGVIEW, WA 98632-2555
Phone number: 360-414-8600