Doctor Name: | MRS. TRAVETT ROBINSON JOHNSON |
NPI Number: | 1023374535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 68652 |
Business Practice Address: | 703 W Point Dr Rosharon, TX - 775838021 |
Business Phone Number: | 2813692621 |
Business Fax Number: | |
Mailing Address: | 703 W Point Dr, ROSHARON |
State: | TX |
Postal Code: | 775838021 |
Phone Number: | 2813692621 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2012 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 68652 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |