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Individual

KEISHA HOLLEY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
11201 RICHMOND AVE, SUITE A-111A, HOUSTON, TX 77082-6653
(281) 512-4734
(281) 293-8100
Mailing address
11201 RICHMOND AVE STE A-111A, HOUSTON, TX 77082-6653
(281) 512-4734
(281) 293-8100

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35188
TX

Other

Enumeration date
08/03/2011
Last updated
02/15/2019
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