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Individual

MS. ALICIA G. JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
56 EAST AVE, AUSTIN, TX 78701-4323
(512) 804-3481
(512) 804-3479
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 445-7787
(512) 440-4059

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
582525
TX
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
582525
TX

Other

Enumeration date
03/01/2007
Last updated
09/11/2025
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