Organization
JACOBS LADDER PSYCHOLOGICAL SERVICES, PLLC
Active
Organization
JACOBS LADDER PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA HOLLEY JOHNSON PHD (CEO/PRESIDENT)
(281) 785-7528
Entity
Organization
Contact information
Practice address
11201 RICHMOND AVE, SUITE A-100A, HOUSTON, TX 77082-6653
(281) 512-4734
(281) 494-8380
Mailing address
16823 GREEN QUAIL DR, MISSOURI CITY, TX 77489-5301
(281) 512-4734
(281) 497-8380
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35188
TX
Other
Enumeration date
02/19/2013
Last updated
05/13/2013
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