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1083020614
STACEY ELIZABETH JOHNSON
PORTLAND, OR
NPI
1083020614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C5410)
Enumeration Date
2014-07-03
Last Update Date
2023-12-06
Business Address
Ms. STACEY ELIZABETH JOHNSON LPC, LMHC
4531 SE BELMONT ST STE 312
PORTLAND, OR 97215-1693
Phone number: 503-288-8170
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Mailing Address
Ms. STACEY ELIZABETH JOHNSON LPC, LMHC
4531 SE BELMONT ST STE 312
PORTLAND, OR 97215-1693
Phone number: 503-208-5155
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