Individual
BENJAMIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
721 RANCH HOUSE RD, WILLOW PARK, TX 76087-7613
(313) 314-7325
Mailing address
721 RANCH HOUSE RD, WILLOW PARK, TX 76087-7613
(313) 314-7325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79771
TX
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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