Doctor Name: | JOCELYN MONICA JOHNSON |
NPI Number: | 1366825671 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 70567 |
Business Practice Address: | 1001 Pat Booker Rd Ste 208 Universal City, TX - 781484154 |
Business Phone Number: | 2108850082 |
Business Fax Number: | |
Mailing Address: | 6442 Pelican Coral, SAN ANTONIO |
State: | TX |
Postal Code: | 782441679 |
Phone Number: | 2108850082 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2015 |
NPI Last Update Date: | 07/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 70567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |