Stacie Lynn Johnson

NPI #1336618974 in Fairfield, Ohio

Provider Information

NPI Number: 1336618974
Entity Type: Individual
Name: Stacie Lynn Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Nov 13, 2018
Last Updated: Jan 26, 2024

Practice Location

Address: 3 JUPITER CT
City: Fairfield
State: Ohio
ZIP Code: 45014-3963
Phone: (513) 290-3872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Case Manager/Care Coordinator	171M00000X
Counselor	101Y00000X	Primary

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