Individual provider · Type 1 NPI

Blake Harrington Johnson

Mental Health Counselor · Crockett, TX

NPI number 1093632572 Active

Practice location

605 E Goliad Ave Ste 202
Crockett, TX 75835-2190

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093632572

Blake Harrington Johnson's National Provider Identifier is 1093632572, issued on Jul 4, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crockett, TX. The record was last updated on Jul 4, 2026.