Individual
STACIE LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MADISON AVE STE 200, TOLEDO, OH 43604-1230
(567) 312-8700
(567) 312-8793
Mailing address
3 JUPITER CT, FAIRFIELD, OH 45014-3963
(513) 290-3872
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/13/2018
Last updated
02/24/2026
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