Doctor Name: | MARY JAYE KELLY JOHNSTON |
NPI Number: | 1881764702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC-S |
License Number: | 15145 |
Business Practice Address: | 355 Linwood Conroe, TX - 773042007 |
Business Phone Number: | 2815366503 |
Business Fax Number: | 9364476985 |
Mailing Address: | 355 Linwood, CONROE |
State: | TX |
Postal Code: | 773044382 |
Phone Number: | 2815366503 |
Fax Number: | 9364476985 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 10/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 15145 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |