Individual
BRANDON LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4501 MILDRED AVE, KILLEEN, TX 76549-2776
(909) 753-4681
Mailing address
4501 MILDRED AVE, KILLEEN, TX 76549-2776
(909) 753-4681
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
205278
TX
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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