Individual provider · Type 1 NPI

Stacy Lee Johnson

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1235684408 Active

Practice location

1307 S 11th St
Tacoma, WA 98405-3644

Mailing address

PO Box 685
Spanaway, WA 98387-0685

Other practice locations

  • 17002 Pacific Ave S, Spanaway, WA 98387-8253 · (253) 538-2323

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60741726 (WA)
Early Intervention Provider Agency 252Y00000XCO60237827 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1235684408

Stacy Lee Johnson's National Provider Identifier is 1235684408, issued on Aug 17, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Aug 25, 2020.