| Connie Johnson, Lpc, Inc. | |
|
601 Pendleton St Temple TX 76504-2947 | |
| (254) 742-1524 | |
| Not Available |
| Full Name | Connie Johnson, Lpc, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 601 Pendleton St, Temple, Texas |
| Authorized Official Name and Position | Connie Johnson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2547421524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connie Johnson, Lpc, Inc. Po Box 581 Salado TX 76571-0581 Ph: (254) 760-2960 | Connie Johnson, Lpc, Inc. 601 Pendleton St Temple TX 76504-2947 Ph: (254) 742-1524 |
| NPI Number | 1871792192 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871792192 | NPI | - | NPPES |
| 028373101 | Medicaid | TX | |
| 4067LC | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 14874 (Texas) | Primary |
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