NPI | 1508373796 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNDA JOHNSON Licensed Professional Counselor S 469-600-5056 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 63935) |
Enumeration Date | 2018-01-09 |
Last Update Date | 2018-01-09 |