Individual provider · Type 1 NPI

Stacey Nicolle Johnson

Marriage & Family Therapist · Edmond, OK

NPI number 1053757286 Active

Practice location

16725 Little Leaf Ln
Edmond, OK 73012-0675

Mailing address

825 NW 16th St
Oklahoma City, OK 73106-6401

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1053757286

Stacey Nicolle Johnson's National Provider Identifier is 1053757286, issued on May 14, 2013. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Edmond, OK. The record was last updated on May 14, 2013.