Stacey Johnson
NPI 1750655650 · on the registry since 2012 · sole proprietor
Practice
- Address
- 111 S Main St
Mcalester, OK 74501 - Phone
- (918) 423-5204
- Organisation at this address
- Bessie Ott
Center4change
Center 4 Change
Center For Change
Center 4 Change, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma