Individual
PATRICIA MAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4601 20TH ST, LUBBOCK, TX 79407-2307
(806) 549-0170
Mailing address
4601 20TH ST, LUBBOCK, TX 79407-2307
(806) 549-0170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
76509
TX
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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