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Individual
MR. TRAVIS W. JOHNSON SR.
Active
Individual
MR. TRAVIS W. JOHNSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
78681
TX
101YM0800X
Mental Health Counselor
78681
TX
101YP1600X
Pastoral Counselor
78681
TX
101YP2500X
Professional Counselor
Primary
78681
TX
102L00000X
Psychoanalyst
78681
TX
Other
Enumeration date
09/09/2021
Last updated
07/18/2024
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