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Mary Jaye Kelly Johnston, LPC-S
Mental Health Counselor in Conroe, Texas
NPI 1881764702

Mary Jaye Kelly Johnston is a Mental Health Counselor based in Conroe, TX and is specialized in Mental Health. Mary Jaye Kelly Johnston practices in Conroe, TX and has the professional credentials of LPC-S. The NPI Number for Mary Jaye Kelly Johnston is 1881764702 and holds a License No. 15145 (Texas).

The current practice location address for Mary Jaye Kelly Johnston is 355 Linwood, Conroe, TX and can be reached out via phone at 281-536-6503 and via fax at 936-447-6985.

Location: 355 Linwood, Conroe, TX, 77304-4382
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881764702
Provider Name
Mary Jaye Kelly Johnston
Credential
LPC-S
Provider Entity Type
Individual
Gender
Female
Address
355 Linwood, Conroe, TX, 77304-4382
Phone Number
281-536-6503
Fax Number
936-447-6985
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
161320001 05 TX
institution
Provider Business Practice Location Address Details
Address
355 Linwood
City
Conroe
State
Texas
Zip
77304-2007
Phone Number
281-536-6503
Fax Number
936-447-6985
person
Provider Business Mailing Address Details
Address
355 Linwood
City
Conroe
State
Texas
Zip
77304-2007
Phone Number
281-536-6503
Fax Number
936-447-6985
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
15145 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
15145 (Texas)
Definition
Definition to come...
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