Johnson, Leon

Johnson, Leon is an sole proprietor health care provider with primary practice located at 4400 Buffalo Gap Rd Ste 3400-C, Abilene TX 79606-2723. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Johnson, Leon can be contacted via phone (325) 668-0665.

Contact Information

Primary practice address
4400 Buffalo Gap Rd Ste 3400-C Abilene TX 79606-2723
Fax: (325) 673-3310
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 17598 Texas

Profile Details

NPI number 1770647083
LBN Legal business name Johnson, Leon
Credentials MED, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770647083 NPPES
Texas Other 342444 MANAGED HEALTH NETWORK
Texas Other 6576LC MANAGED HEALTH NETWORK
Texas MEDICAID 1499873-01 MANAGED HEALTH NETWORK

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