Individual
MS. HATTIE MAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0702
(214) 302-1441
Mailing address
1303 CORONADO LN, DUNCANVILLE, TX 75137-3047
(972) 283-4088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4095
TX
1041C0700X
Clinical Social Worker
11631
TX
Other
Enumeration date
08/13/2006
Last updated
09/11/2025
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