NPI 1053757286

Stacey Nicolle Johnson

Practitioner Marriage & Family Therapist Edmond, OK

Practice location

Address: 16725 Little Leaf Ln, Edmond, OK 73012-0675
Phone: (405) 409-2878
Mailing address: 825 NW 16th St, Oklahoma City, OK 73106-6401

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X

Other Marriage & Family Therapist providers in Oklahoma →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Other Counselor providers in Oklahoma →

Registry record

NPI: 1053757286
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2013
Record last updated: 14 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.