Most Relevant Information
Provider Data
| NPI Number: | 1003568197 |
| Provider Name: | STEPHANIE JOHNSON LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2021011593 |
Most Important Dates
| Enumeration Date: | 01/20/2022 |
| Last Updated: | 11/29/2023 |
Provider Practice Location
91 TROY SQ STE 101
TROY
MO
633793228
Practice Location Phone/Fax
| Phone: | 8884031071 |
| Fax: |
Provider Mailing Location
1800 COMMUNITY
CLINTON
MO
647358804
Provider Mailing Phone/Fax
| Phone: | 6608858131 |
| Fax: |