Individual
MS. CAROL S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPC, CEAP
Contact information
Practice address
614 W MAIN ST STE 102, LEAGUE CITY, TX 77573-3770
(281) 332-3263
Mailing address
614 W MAIN ST STE 102, LEAGUE CITY, TX 77573-3770
(281) 332-3263
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8923
TX
106H00000X
Marriage & Family Therapist
0179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76042119877573
TRICARE
—
05
—
LP0005876
—
TX
Enumeration date
01/16/2007
Last updated
09/11/2025
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