Dr. Ricky Lee Johansen JR.
Mental Health Counselor
3727 Princeton Ct Se
Lacey
, Washington 98503-4150
Dr. Ricky Lee Johansen JR.
Mental Health Counselor
3727 Princeton Ct Se
Lacey
, Washington 98503-4150
(360) 357-4707
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Dr. Ricky Lee Johansen JR.
- Po Box 3185
- Lacey, WA
- Zip : 98509-3185
- Fax : (360) 357-4707
- Phone : (360) 357-4707
Second Address
- Dr. Ricky Lee Johansen JR.
- 3727 Princeton Ct Se
- Lacey, WA
- Zip : 98503-4150
- Fax : (360) 357-4707
- Phone : (360) 357-4707
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Is Dr. Ricky Lee Johansen JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | WA |
National Provider Identifier
| NPI | 1003085309 |
|---|---|
| Provider Name | Dr. Ricky Lee Johansen JR. |
| First Address | Lacey, WA 98509-3185 |
| Second Address | Lacey, WA 98503-4150 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2008 |
| Last Update Date | 21/02/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.