| Doctor Name: | BRENDA JANE JOHNSON |
| NPI Number: | 1811978240 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 15404 |
| Business Practice Address: | 1006 S Shore Dr Kemah, TX - 775652490 |
| Business Phone Number: | 2813342272 |
| Business Fax Number: | 2813342272 |
| Mailing Address: | Po Box 1416, KEMAH |
| State: | TX |
| Postal Code: | 775651416 |
| Phone Number: | 2813391402 |
| Fax Number: | 2813391402 |
| NPI Enumeration Date: | 11/11/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 15404 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |