KERMIT JOHNSON

SAN ANTONIO, TX
NPI1114723343
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  14034)
Enumeration Date2025-02-19
Last Update Date2025-02-19
Business Address
KERMIT JOHNSON LCDC
2015 NE LOOP 410
SAN ANTONIO, TX 78217-5411
Phone number: 210-987-3366
Mailing Address
KERMIT JOHNSON LCDC
2015 NE LOOP 410
SAN ANTONIO, TX 78217-5411
Phone number: 210-987-3366