Provider Demographics
NPI:1174962237
Name:JOHNSON, CHRISTOPHER M (MA, LPC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:M
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6849 ELM ST
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4228
Mailing Address - Country:US
Mailing Address - Phone:214-402-8728
Mailing Address - Fax:866-612-2084
Practice Address - Street 1:6849 ELM ST
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4228
Practice Address - Country:US
Practice Address - Phone:214-402-8728
Practice Address - Fax:866-612-2084
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66537101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health