Lookup NPI Numbers from the NPI Registry
NPI Profile for STACY L JOHNSON in TACOMA, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Early Intervention Provider Agency |
252Y00000X |
| NPI Number | 1235684408 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/17/2016 | |
| Last updated | 08/25/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STACY L JOHNSON
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STACY L JOHNSON