Individual
DR. JOHN RICHTER VAN EENWYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1026 STATE AVE NE, OLYMPIA, WA 98506-4065
(360) 352-2974
Mailing address
1026 STATE AVE NE, OLYMPIA, WA 98506-4065
(360) 870-0628
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
PY00001787
WA
Other
Enumeration date
09/12/2008
Last updated
10/28/2010
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