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Individual

DERRICK JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LPC, LCDC-I

Contact information

Practice address
2734 SUNRISE BLVD STE 309, PEARLAND, TX 77584-8709
(832) 614-4847
Mailing address
2500 BUSINESS CENTER DR APT 6214, PEARLAND, TX 77584-2454

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
94209
TX

Other

Enumeration date
02/20/2024
Last updated
01/14/2026
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