Individual
ELLEN ROSE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5909 WEST LOOP S STE 640, BELLAIRE, TX 77401-2430
(346) 320-3195
Mailing address
15100 ELLA BLVD APT 1109, HOUSTON, TX 77090-7035
(320) 360-7496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
77739
TX
Other
Enumeration date
12/17/2018
Last updated
12/18/2018
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