person
Ms. Stacey Elizabeth Johnson, LPC,LMHC
Mental Health Counselor in Portland, Oregon
NPI 1083020614

Stacey Elizabeth Johnson is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Stacey Elizabeth Johnson practices in Portland, OR and has the professional credentials of LPC,LMHC. The NPI Number for Stacey Elizabeth Johnson is 1083020614 and holds a License No. C5410 (Oregon).

The current practice location address for Stacey Elizabeth Johnson is 4531 Se Belmont St Ste 312, Portland, OR and can be reached out via phone at 503-288-8170 and via fax at 971-332-4660.

Location: 4531 Se Belmont St Ste 312, Portland, OR, 97215-1693
person
Provider Profile Details
NPI Number
1083020614
Provider Name
Stacey Elizabeth Johnson
Credential
LPC,LMHC
Provider Entity Type
Individual
Gender
Female
Address
4531 Se Belmont St Ste 312, Portland, OR, 97215-1693
Phone Number
503-288-8170
Fax Number
971-332-4660
Provider Enumeration Date
07/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4531 Se Belmont St Ste 312
City
State
Zip
97215-1693
Phone Number
503-288-8170
Fax Number
971-332-4660
person
Provider Business Mailing Address Details
Address
4531 Se Belmont St Ste 312
City
State
Zip
97215-1693
Phone Number
503-288-8170
Fax Number
971-332-4660
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C5410 (Oregon)
Definition
Definition to come...
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