| Vancouver Guidance Clinic | |
|
3112 Main St Vancouver WA 98663-2752 | |
| (360) 694-2016 | |
| (360) 694-8990 |
| Full Name | Vancouver Guidance Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 3112 Main St, Vancouver, Washington |
| Authorized Official Name and Position | Christopher Kirk Johnson (CLINIC DIRECTOR) |
| Authorized Official Contact | 3606942016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vancouver Guidance Clinic 3112 Main St Vancouver WA 98663-2752 Ph: (360) 694-2016 | Vancouver Guidance Clinic 3112 Main St Vancouver WA 98663-2752 Ph: (360) 694-2016 |
| NPI Number | 1942607890 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 11/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942607890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY 00000813 (Washington) | Primary |
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