Lastacie Deshon Alexander-Johnson
Counselor in Humble, TX. Individual provider (NPI-1).
NPI number1194556290
StatusActive
Last updated in NPPESAug 12, 2024
Details
- NPI
- 1194556290
- Entity type
- Individual (NPI-1)
- Name
- Lastacie Deshon Alexander-Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2024
- Certification date
- Aug 12, 2024
- Last updated
- Aug 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
7127 Leens Lodge LnHumble, TX 77346-3344
Phone 832-450-1611
Mailing address
7127 Leens Lodge LnHumble, TX 77346-3344
Phone 832-450-1611
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