Individual
BRENDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 H G MOSLEY PKWY UNIT 101, LONGVIEW, TX 75604-4475
(469) 753-9990
(469) 533-8872
Mailing address
1423 H G MOSLEY PKWY UNIT 101, LONGVIEW, TX 75604-4475
(469) 753-9990
(469) 533-8872
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
79344
TX
172V00000X
Community Health Worker
4277
TX
Other
Enumeration date
08/07/2018
Last updated
01/08/2025
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