Ricky Lee Johansen in Lacey - Mental Health
Ricky Lee Johansen - NPI 1003085309
Ricky Lee Johansen is a Mental Health in Lacey, Washington. Ricky Lee Johansen practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Ricky Lee Johansen is 1003085309. The last update date is 2008-02-21.
Ricky Lee Johansen's current location address is Po Box 3185, Lacey, Washington. You can contact this provider via phone number 3603574707 and fax number 3603574707. The mailing address for Ricky Lee Johansen is Po Box 3185, Lacey, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ricky Lee Johansen |
|---|---|
| Address | Po Box 3185, Lacey, Washington |
| Phone Number | 3603574707 |
| Fax Number | 3603574707 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1003085309 |
|---|---|
| Provider Enumeration Date | 2008-02-21 |
| Last Updated Date | 2008-02-21 |
Provider Mailing Address Detail
| Address | Po Box 3185 |
|---|---|
| City | Lacey |
| State | Washington (WA) |
| Post Code | 985093185 |
| Phone Number | 3603574707 |
| Fax Number | 3603574707 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to Ricky Lee Johansen by the Centers for Medicare & Medicaid Services?
The Ricky Lee Johansen has been assigned the NPI (National Provider Identifier) 1003085309. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ricky Lee Johansen's physical address?
The Ricky Lee Johansen is physically located at Po Box 3185, in the city of Lacey, WA, with the postal code 985093185.
What is Ricky Lee Johansen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ricky Lee Johansen's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date was the 1003085309 assigned to Ricky Lee Johansen?
The Ricky Lee Johansen was issued its 1003085309 on 2008-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Ricky Lee Johansen's information last updated?
The Ricky Lee Johansen's information was last updated on 2008-02-21.
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