Individual
ANDREA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PLLC
Contact information
Practice address
3740 COLONY DR STE 122, SAN ANTONIO, TX 78230-2290
(210) 919-1610
Mailing address
8303 KYLE ROTE ST., SAN ANTONIO, TX 78240
(210) 919-1610
(855) 272-3737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
70349
TX
101YP2500X
Professional Counselor
Primary
70349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346674001
—
TX
Enumeration date
04/05/2015
Last updated
05/23/2021
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