Individual
PAUL ARTHUR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC
Contact information
Practice address
2402 BROADMOOR DR, SUITE A-103, BRYAN, TX 77802-2847
(979) 846-3778
(979) 774-0606
Mailing address
2402 BROADMOOR DR, SUITEA-103, BRYAN, TX 77802-2847
(979) 846-3778
(979) 774-0606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027335101
—
TX
Enumeration date
06/02/2006
Last updated
06/19/2012
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