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Constance Johnson, LPC,LPC-SUPERVISOR
Professional Counselor in Temple, Texas
NPI 1306857875

Constance Johnson is a Professional Counselor based in Salado, TX and is specialized in Professional. Constance Johnson practices in Temple, TX and has the professional credentials of LPC,LPC-SUPERVISOR. The NPI Number for Constance Johnson is 1306857875 and holds a License No. 14874 (Texas).

The current practice location address for Constance Johnson is 601 Pendleton St, Temple, TX and can be reached out via phone at 254-742-1524 and via fax at 254-742-0789. You can also correspond with Constance Johnson through the mailing address at PO BOX 581, SALADO, TX - 76571-0581 (mailing address contact number: 254-760-2960).

Location: 601 Pendleton St, Temple, TX, 76571-0581
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Provider Profile Details
NPI Number
1306857875
Provider Name
Constance Johnson
Credential
LPC,LPC-SUPERVISOR
Provider Entity Type
Individual
Gender
Female
Address
601 Pendleton St, Temple, TX, 76571-0581
Phone Number
254-742-1524
Fax Number
254-742-0789
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26-0191219 01 TX PGBA / VALUE OPTIONS TRIC
4067LC 01 TX BLUE CROSS BLUE SHIELD
028373101 05 TX
institution
Provider Business Practice Location Address Details
Address
601 Pendleton St
City
State
Zip
76504-2947
Phone Number
254-742-1524
Fax Number
254-742-0789
person
Provider Business Mailing Address Details
Address
601 Pendleton St
City
State
Zip
76504-2947
Phone Number
254-742-1524
Fax Number
254-742-0789
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
14874 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
14874 (Texas)
Definition
Definition to come...
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