Individual
LASTACIE DESHON ALEXANDER-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7127 LEENS LODGE LN, HUMBLE, TX 77346-3344
(832) 450-1611
Mailing address
7127 LEENS LODGE LN, HUMBLE, TX 77346-3344
(832) 450-1611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/12/2024
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