STACEY LEOTA JOHNSON

TULARE, CA
NPI1457813305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C059790219)
Enumeration Date2019-04-01
Last Update Date2019-04-01
Business Address
STACEY LEOTA JOHNSON
559 E BARDSLEY AVE
TULARE, CA 93274-5400
Phone number: 559-688-7531
Mailing Address
STACEY LEOTA JOHNSON
559 E BARDSLEY AVE
TULARE, CA 93274-5400
Phone number: 559-403-9687
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