| Doctor Name: | LAURA ANN JOHNSON |
| NPI Number: | 1275841272 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 64375 |
| Business Practice Address: | 2810 Dacy Ln Kyle, TX - 786406322 |
| Business Phone Number: | 5122688900 |
| Business Fax Number: | 5122682250 |
| Mailing Address: | 3066 E Commerce St, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782201013 |
| Phone Number: | 2102337000 |
| Fax Number: | 2102776387 |
| NPI Enumeration Date: | 09/24/2010 |
| NPI Last Update Date: | 12/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 64375 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |