Individual
JOHN RICKENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHCA
Contact information
Practice address
403 S LINCOLN ST STE 4, PORT ANGELES, WA 98362-3025
(360) 461-5656
Mailing address
403 S LINCOLN, STE 4, PMB 7, PORT ANGELES, WA 98362
(360) 461-5656
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61049817
WA
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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