Individual
MR. LOUIE RAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
11675 JOLLYVILLE RD, SUITE 111, AUSTIN, TX 78759-3939
(512) 219-8828
(512) 219-8838
Mailing address
11675 JOLLYVILLE RD, SUITE 111, AUSTIN, TX 78759-3939
(512) 219-8828
(512) 219-8838
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12295
TX
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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