person
Johanna Stacy, LMHCA
Mental Health Counselor in Vancouver, Washington
NPI 1669131629

Johanna Stacy is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Johanna Stacy practices in Vancouver, WA and has the professional credentials of LMHCA. The NPI Number for Johanna Stacy is 1669131629 and holds a License No. MC61224618 (Washington).

The current practice location address for Johanna Stacy is 800 Franklin St Ste 200, Vancouver, WA and can be reached out via phone at 360-828-1429.

Location: 800 Franklin St Ste 200, Vancouver, WA, 98684-6941
person
Provider Profile Details
NPI Number
1669131629
Provider Name
Johanna Stacy
Credential
LMHCA
Provider Entity Type
Individual
Gender
Female
Address
800 Franklin St Ste 200, Vancouver, WA, 98684-6941
Phone Number
360-828-1429
Fax Number
Provider Enumeration Date
12/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 Franklin St Ste 200
City
State
Zip
98660-3356
Phone Number
360-828-1429
Fax Number
person
Provider Business Mailing Address Details
Address
800 Franklin St Ste 200
City
State
Zip
98660-3356
Phone Number
360-828-1429
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MC61224618 (Washington)
Definition
Definition to come...
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