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NPI Code Detail

MEDICARE: STACI JOHNSON LPC

MEDICARE: STACI JOHNSON LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor71699TX

General Provider Information

NPI Number : 1326521212
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACI JOHNSON LPC
Provider Business Mailing Address
First Line : 3610 BELLE STRAIT
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78257-5073
Country : US
Telephone Number : 210-286-5292
Fax Number :
Provider Business Practice Location Address
First Line : 1314 E SONTERRA BLVD STE 2208
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4287
Country : US
Telephone Number : 210-858-1900
Fax Number : 210-745-4525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2018
Last Update Date : 07/15/2025

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Directions to “ STACI JOHNSON LPC” Practice Location

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