Organization
VANCOUVER GUIDANCE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER KIRK JOHNSON PH.D. (CLINIC DIRECTOR)
(360) 694-2016
Entity
Organization
Contact information
Practice address
3112 MAIN ST, VANCOUVER, WA 98663-2752
(360) 694-2016
(360) 694-8990
Mailing address
3112 MAIN ST, VANCOUVER, WA 98663-2752
(360) 694-2016
(360) 694-8990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 00000813
WA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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