Individual
MRS. STACEY LIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
303 N BURLINGTON AVE STE C, HASTINGS, NE 68901-5085
(402) 834-0884
(888) 972-3670
Mailing address
303 N BURLINGTON AVE STE C, HASTINGS, NE 68901-5085
(402) 834-0884
(888) 972-3670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11323
NE
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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