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Individual

STACY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LCPC, RPT-S

Contact information

Practice address
719 MASSACHUSETTS ST STE 128, LAWRENCE, KS 66044-2345
(785) 657-4099
(785) 856-6006
Mailing address
719 MASSACHUSETTS ST STE 128, LAWRENCE, KS 66044-2345
(785) 657-4099
(785) 856-6006

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC 727
KS

Other

Enumeration date
08/17/2007
Last updated
01/19/2019
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