Doctor Name: | PAUL ARTHUR JOHNSON |
NPI Number: | 1801834031 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., LPC |
License Number: | 13843 |
Business Practice Address: | 2402 Broadmoor Dr Suite A-103 Bryan, TX - 778022847 |
Business Phone Number: | 9798463778 |
Business Fax Number: | 9797740606 |
Mailing Address: | 2402 Broadmoor Dr, Suitea-103 BRYAN |
State: | TX |
Postal Code: | 778022847 |
Phone Number: | 9798463778 |
Fax Number: | 9797740606 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 06/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 13843 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |