| K Johnson Enterprises Llc | |
|
7901 Cameron Rd Ste 2-139 Austin TX 78754-3802 | |
| (512) 910-5188 | |
| Not Available |
| Full Name | K Johnson Enterprises Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7901 Cameron Rd Ste 2-139, Austin, Texas |
| Authorized Official Name and Position | Y. Diana Johnson (COUNSELOR) |
| Authorized Official Contact | 5129105188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K Johnson Enterprises Llc Po Box 144031 Austin TX 78714-4031 Ph: (512) 910-5188 | K Johnson Enterprises Llc 7901 Cameron Rd Ste 2-139 Austin TX 78754-3802 Ph: (512) 910-5188 |
| NPI Number | 1750915963 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750915963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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