STACY LEE JOHNSON NPI 1235684408

NPI Information

NPI: 1235684408
Provider Name: STACY LEE JOHNSON
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1307 S 11TH ST
TACOMA, WA
ZIP 98405
Phone: (253) 682-2180
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Stacy Lee Johnson is an addiction (substance use disorder) counselor in Tacoma, WA. Stacy Lee Johnson NPI is 1235684408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1307 S 11TH ST
TACOMA, WA
ZIP 98405-644
Phone: (253) 682-2180

The enumeration date for this NPI number is 8/17/2016 and was last updated on 8/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP60741726	WASHINGTON	Yes
2	252Y00000X	Early Intervention Provider Agency		CO60237827	WASHINGTON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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