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Individual

MRS. TIFFANY LAINE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC, LCDC

Contact information

Practice address
19333 HIGHWAY 59 N, SUITE 280, HUMBLE, TX 77338-4204
(281) 540-0331
(281) 540-0339
Mailing address
19333 HIGHWAY 59 N, SUITE 280, HUMBLE, TX 77338-4204
(281) 540-0331
(281) 540-0339

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12266
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
1227
LA

Other

Enumeration date
05/30/2007
Last updated
09/06/2013
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