Individual
ANNA EILEEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCDC, LPC INTERN
Contact information
Practice address
12355 HYMEADOW DR., SUITE 450, AUSTIN, TX 78750
(512) 567-8165
Mailing address
1504 QUAIL COVER CIR, AUSTIN, TX 78758-5609
(512) 567-8165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9556
TX
Other
Enumeration date
03/03/2011
Last updated
04/01/2011
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