Individual provider · Type 1 NPI

Johanna Stacy, LMHCA

Mental Health Counselor · Vancouver, WA

NPI number 1669131629 Active

Practice location

800 Franklin St Ste 200
Vancouver, WA 98660-3356

Call (360) 828-1429 Map

Mailing address

100 SE Olympia Dr Apt 110
Vancouver, WA 98684-6941

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC61224618 (WA)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1669131629

Johanna Stacy, LMHCA's National Provider Identifier is 1669131629, issued on Dec 16, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Dec 16, 2021.