| Doctor Name: | MS. CAROL S JOHNSON |
| NPI Number: | 1104977800 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMFT, LPC, CEAP |
| License Number: | 8923 |
| Business Practice Address: | 614 W Main St Ste 102 League City, TX - 775733770 |
| Business Phone Number: | 2813323263 |
| Business Fax Number: | |
| Mailing Address: | 614 W Main St Ste 102, LEAGUE CITY |
| State: | TX |
| Postal Code: | 775733770 |
| Phone Number: | 2813323263 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 8923 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |