Jennie Marie Johnson, LPC
Counselor, Professional in Hutto, TX. Individual provider (NPI-1).
NPI number1689300055
StatusActive
Last updated in NPPESJul 28, 2022
Details
- NPI
- 1689300055
- Entity type
- Individual (NPI-1)
- Name
- Jennie Marie Johnson
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2022
- Certification date
- Jul 28, 2022
- Last updated
- Jul 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 84921 | TX | Yes |
Practice location
1615 County Road 107Hutto, TX 78634-3009
Phone 737-910-2482
Mailing address
1221 Naranjo DrGeorgetown, TX 78628-4031
Phone 254-702-5518
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