Individual provider · Type 1 NPI
Anna Eileen Johnson, MA, LCDC, LPC INTERN
Addiction (Substance Use Disorder) Counselor · Austin, TX
NPI number
1366740169
Active
Practice location
12355 Hymeadow Dr., Suite 450
Austin, TX 78750
Mailing address
1504 Quail Cover Cir
Austin, TX 78758-5609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 9556 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1366740169
Anna Eileen Johnson, MA, LCDC, LPC INTERN's National Provider Identifier is 1366740169, issued on Mar 3, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Austin, TX. The record was last updated on Apr 1, 2011.