Individual
BILLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
908 E 92ND ST, ODESSA, TX 79765-1528
(432) 934-2601
Mailing address
908 E 92ND ST, ODESSA, TX 79765-1528
(432) 934-2601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
83736
TX
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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