Individual provider · Type 1 NPI

Staci Johnson, LAC

Mental Health Counselor · Gilbert, AZ

NPI number 1225893464 Active

Practice location

2314 S Val Vista Dr Ste 101
Gilbert, AZ 85295-5591

Call (480) 804-0326 Map

Fax (480) 804-0083

Mailing address

1400 E Southern Ave Ste 735
Tempe, AZ 85282-5699

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-22673 (AZ)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1225893464

Staci Johnson, LAC's National Provider Identifier is 1225893464, issued on Feb 16, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gilbert, AZ. The record was last updated on Feb 16, 2024.