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1235595091
STACY JOHNSON
PORTLAND, OR
NPI
1235595091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C2585)
Enumeration Date
2016-01-11
Last Update Date
2016-01-11
Business Address
-- STACY JOHNSON LPC
621 SW ALDER ST STE 400
PORTLAND, OR 97205-3619
Phone number: 971-270-6766
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Mailing Address
-- STACY JOHNSON LPC
621 SW ALDER ST STE 400
PORTLAND, OR 97205-3619
Phone number: 971-270-6766
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