Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP2500X | Professional Counselor | ||
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
NPI | 1295905248 |
---|---|
Provider Name | Chritiana John |
First Address | Houston, TX 77034-3685 |
Second Address | Houston, TX 77034-3685 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2008 |
Last Update Date | 06/03/2008 |