Johnson, Stacy Lee

Johnson, Stacy Lee is an sole proprietor health care provider with primary practice located at 1307 S 11Th St , Tacoma WA 98405-3644. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Early Intervention Provider Agency. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Johnson, Stacy Lee can be contacted via phone (253) 682-2180.

Contact Information

Primary practice address
1307 S 11Th St Tacoma WA 98405-3644
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP60741726 Washington
Agencies / Early Intervention Provider Agency 252Y00000X CO60237827 Washington

Profile Details

NPI number 1235684408
LBN Legal business name Johnson, Stacy Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2016
Last updated Aug 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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