Provider Demographics
NPI:1700128378
Name:JOHNSON-STEMEN, TERRI LEE
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:LEE
Last Name:JOHNSON-STEMEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:LEE
Other - Last Name:STEMEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-5508
Mailing Address - Country:US
Mailing Address - Phone:530-894-5889
Mailing Address - Fax:530-894-5791
Practice Address - Street 1:130 W 6TH ST
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5508
Practice Address - Country:US
Practice Address - Phone:530-894-5889
Practice Address - Fax:530-894-5791
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63034104100000X
CA1018901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker