Stacey Nicolle Johnson Valid NPI
Individual provider · Marriage & Family Therapist · Edmond, OK
- NPI
- 1053757286
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2013-05-14
- Last updated
- 2013-05-14
Practice location
16725 Little Leaf Ln
Edmond, OK 73012-0675
(405) 409-2878