# VERNON C JOHNSON MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487107694
- **Authorized official:** VERNON C JOHNSON (OWNER)
- **Authorized official phone:** (903) 814-5435

## Contact information

- **Practice address:** 302 E BROCKETT ST, SHERMAN, TX 75090-4932
- **Practice address phone:** (903) 729-5794
- **Mailing address:** 302 E BROCKETT ST, SHERMAN, TX 75090-4932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2016
- **Last updated:** 07/25/2016
