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Individual
DR. WANDA Y JOHNSON
Active
Individual
DR. WANDA Y JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,LMFT, PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
08895
TX
106H00000X
Marriage & Family Therapist
1532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
752342350
TAX IDENTIFICATION NUMBER
TX
Enumeration date
07/19/2006
Last updated
05/01/2023
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