Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 75623 |
NPI | 1003331463 |
---|---|
Provider Name | Natarsha Johnson |
First Address | Missouri City, TX 77489-3068 |
Second Address | Missouri City, TX 77489 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2017 |
Last Update Date | 09/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
75623 | TEXAS STATE BOARD OF EXAMINERS FOR PROFESSIONAL COUNSELORS (01) | TX |
75623 | TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS (01) | TX |