Individual
EMILY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-ASSOCIATE
Contact information
Practice address
3308 BROADWAY STE 201, SAN ANTONIO, TX 78209-6549
(210) 906-8428
Mailing address
15730 SHELL CREEK ST, SAN ANTONIO, TX 78232-2729
(210) 414-7205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92781
TX
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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