person
Stacey Shumway Johnson, LPCC-S,LICDC-CS
Professional Counselor in Portsmouth, Ohio
NPI 1821289034

Stacey Shumway Johnson is a Professional Counselor based in Portsmouth, OH and is specialized in Professional. Stacey Shumway Johnson practices in Portsmouth, OH and has the professional credentials of LPCC-S,LICDC-CS. The NPI Number for Stacey Shumway Johnson is 1821289034 and holds a License No. 104053 (Ohio).

The current practice location address for Stacey Shumway Johnson is 310 Washington St, Portsmouth, OH and can be reached out via phone at 844-505-4500 and via fax at 740-353-8889. You can also correspond with Stacey Shumway Johnson through the mailing address at 310 WASHINGTON ST, PORTSMOUTH, OH - 45662-3914 (mailing address contact number: 844-505-4500).

Location: 310 Washington St, Portsmouth, OH, 45662-3914
person
Provider Profile Details
NPI Number
1821289034
Provider Name
Stacey Shumway Johnson
Credential
LPCC-S,LICDC-CS
Provider Entity Type
Individual
Gender
Female
Address
310 Washington St, Portsmouth, OH, 45662-3914
Phone Number
844-505-4500
Fax Number
740-353-8889
Provider Enumeration Date
08/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11816332 01 CAQH
000000530777 01 ANTHEM BCBS
7100283540 05 KY
institution
Provider Business Practice Location Address Details
Address
310 Washington St
City
State
Zip
45662-3914
Phone Number
844-505-4500
Fax Number
740-353-8889
person
Provider Business Mailing Address Details
Address
310 Washington St
City
State
Zip
45662-3914
Phone Number
844-505-4500
Fax Number
740-353-8889
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
104053 (Kentucky)
Definition
Definition to come...
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