Provider Demographics
NPI:1669810545
Name:JOHNSON, BARBARA L (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:L
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22603 CRESCENT COVE CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8218
Mailing Address - Country:US
Mailing Address - Phone:281-467-1956
Mailing Address - Fax:
Practice Address - Street 1:22603 CRESCENT COVE CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8218
Practice Address - Country:US
Practice Address - Phone:281-467-1956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63938101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional