Individual
BREA ALEXANDRIA DIANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2616 S LOOP W STE 260, HOUSTON, TX 77054-0005
(713) 666-7779
(832) 200-9819
Mailing address
12500 BARKER CYPRESS RD APT 8202, CYPRESS, TX 77429-8259
(330) 612-2213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
82506
TX
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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