Stacey Leota Johnson
NPI #1457813305 in Tulare, California
Provider Information
- NPI Number
- 1457813305
- Entity Type
- Individual
- Name
- Stacey Leota Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Apr 1, 2019
- Last Updated
- Apr 1, 2019
Practice Location
- Address
- 559 E BARDSLEY AVE
- City
- Tulare
- State
- California
- ZIP Code
- 93274-5400
- Phone
- (559) 688-7531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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