STACI JOHNSON

GILBERT, AZ
NPI1225893464
Former NameSTACI WATKINS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-22673)
Enumeration Date2024-02-16
Last Update Date2024-02-16
Business Address
STACI JOHNSON LAC
2314 S VAL VISTA DR STE 101
GILBERT, AZ 85295-5591
Phone number: 480-804-0326
Mailing Address
STACI JOHNSON LAC
1400 E SOUTHERN AVE STE 735
TEMPE, AZ 85282-5699
Phone number: 480-804-0326
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