Individual
MS. JEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
5217 MACKENZIE WAY, PLANO, TX 75093-4909
(972) 381-1818
(972) 250-4878
Mailing address
5217 MACKENZIE WAY, PLANO, TX 75093-4909
(972) 381-1818
(972) 250-4878
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1122-0800
ADDICTION COUNSELOR
TX
01
—
721
MARRIAGE & FAMILY THERAPI
TX
Enumeration date
09/15/2006
Last updated
07/08/2007
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