person
Katie Jean Johnson, MED
Professional Counselor in Desoto, Texas
NPI 1710998133

Katie Jean Johnson is a Professional Counselor based in Glenn Heights, TX and is specialized in Professional. Katie Jean Johnson practices in Desoto, TX and has the professional credentials of MED. The NPI Number for Katie Jean Johnson is 1710998133 and holds a License No. 19793 (Texas).

The current practice location address for Katie Jean Johnson is 1666 N Hampton Rd, Desoto, TX and can be reached out via phone at 469-235-3477 and via fax at 469-519-3918.

Location: 1666 N Hampton Rd, Desoto, TX, 75154-8816
person
Provider Profile Details
NPI Number
1710998133
Provider Name
Katie Jean Johnson
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
1666 N Hampton Rd, Desoto, TX, 75154-8816
Phone Number
469-235-3477
Fax Number
469-519-3918
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7212LC 01 BCBS
7212LC 01 TX LICENSED PROF COUNSELOR
1790867 05 TX
7859920 01 AETNA
institution
Provider Business Practice Location Address Details
Address
1666 N Hampton Rd
City
State
Zip
75115-2390
Phone Number
469-235-3477
Fax Number
469-519-3918
person
Provider Business Mailing Address Details
Address
1666 N Hampton Rd
City
State
Zip
75115-2390
Phone Number
469-235-3477
Fax Number
469-519-3918
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
19793 (Texas)
Definition
Definition to come...
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