Johnston, Stacy Kim
Johnston, Stacy Kim is an sole proprietor health care provider with primary practice located at 4730 Palm Ave 202, La Mesa CA 91941-5266. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnston, Stacy Kim can be contacted via phone (619) 778-7215.Contact Information
Primary practice address
4730 Palm Ave 202
La Mesa CA 91941-5266
Phone: (619) 778-7215
Fax: (619) 328-9332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY17457 | California |
Profile Details
| NPI number | 1063569135 |
|---|---|
| LBN Legal business name | Johnston, Stacy Kim |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Aug 19th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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