Individual
RYAN JOHANNESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, OR 98666
(360) 933-3000
Mailing address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7369
(360) 993-3000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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