person
Stacey Leota Johnson
Addiction (Substance Use Disorder) Counselor in Tulare, California
NPI 1457813305

Stacey Leota Johnson is an Addiction (Substance Use Disorder) Counselor based in Tulare, CA and is specialized in Addiction (Substance Use Disorder). Stacey Leota Johnson practices in Tulare, CA. The NPI Number for Stacey Leota Johnson is 1457813305 and holds a License No. C059790219 (California).

The current practice location address for Stacey Leota Johnson is 559 E Bardsley Ave, Tulare, CA and can be reached out via phone at 559-688-7531.

Location: 559 E Bardsley Ave, Tulare, CA, 93274-5400
person
Provider Profile Details
NPI Number
1457813305
Provider Name
Stacey Leota Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
559 E Bardsley Ave, Tulare, CA, 93274-5400
Phone Number
559-688-7531
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
559 E Bardsley Ave
City
State
Zip
93274-5400
Phone Number
559-688-7531
Fax Number
person
Provider Business Mailing Address Details
Address
559 E Bardsley Ave
City
State
Zip
93274-5400
Phone Number
559-688-7531
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C059790219 (California)
Definition
Definition to come...
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