Johansen, Debra
Johansen, Debra is an individual health care provider with primary practice located at 6121 Green Bay Rd Suite 230, Kenosha WI 53142-2926. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johansen, Debra can be contacted via phone (262) 654-8366.Contact Information
Primary practice address
6121 Green Bay Rd Suite 230
Kenosha WI 53142-2926
Phone: (262) 654-8366
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1627-057 | Wisconsin |
Profile Details
| NPI number | 1467537423 |
|---|---|
| LBN Legal business name | Johansen, Debra |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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