Provider Demographics
NPI:1215172218
Name:JOHNSON, PATRICIA (LPC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 841077
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77284-1077
Mailing Address - Country:US
Mailing Address - Phone:832-230-4158
Mailing Address - Fax:
Practice Address - Street 1:16015 CAIRNWAY DR.
Practice Address - Street 2:UNIT 841077
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77284-1077
Practice Address - Country:US
Practice Address - Phone:832-230-4158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62194101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional