# VANCOUVER GUIDANCE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942607890
- **Authorized official:** DR. CHRISTOPHER KIRK JOHNSON PH.D. (CLINIC DIRECTOR)
- **Authorized official phone:** (360) 694-2016

## Contact information

- **Practice address:** 3112 MAIN ST, VANCOUVER, WA 98663-2752
- **Practice address phone:** (360) 694-2016
- **Practice address fax:** (360) 694-8990
- **Mailing address:** 3112 MAIN ST, VANCOUVER, WA 98663-2752
- **Mailing address phone:** (360) 694-2016
- **Mailing address fax:** (360) 694-8990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY 00000813 | WA | Yes |

## Other

- **Enumeration date:** 11/20/2014
- **Last updated:** 11/20/2014