| NPI | 1871792192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE JOHNSON Psychotherapist 254-742-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 14874) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2018-06-21 |