Individual
AMANDA R JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17502 HAMILWOOD DR, HOUSTON, TX 77095-1118
(505) 330-8371
Mailing address
17502 HAMILWOOD DR, HOUSTON, TX 77095-1118
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
120815521
NM
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120815521
DRIVERS LICENSE NUMBER
NM
Enumeration date
02/09/2012
Last updated
08/13/2024
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