Individual
EBONY JOHNSON BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2717 COMMERCIAL CENTER BLVD STE E200, KATY, TX 77494-7823
(832) 604-4390
Mailing address
2717 COMMERCIAL CENTER BLVD STE E200, KATY, TX 77494-7823
(832) 604-4390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11199-125
WI
101YM0800X
Mental Health Counselor
Primary
LH61585624
WA
101YP2500X
Professional Counselor
70501
TX
Other
Enumeration date
04/28/2015
Last updated
02/18/2025
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