MRS. Stacey Nicolle Johnson

NPI #1053757286 in Edmond, Oklahoma

Provider Information

NPI Number
1053757286
Entity Type
Individual
Name
MRS. Stacey Nicolle Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Enumeration Date
May 14, 2013
Last Updated
May 14, 2013

Practice Location

Address
16725 LITTLE LEAF LN
City
Edmond
ZIP Code
73012-0675
Phone
(405) 409-2878

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Marriage & Family Therapist

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