Johnson, Renese M.

Johnson, Renese M. is an individual health care provider with primary practice located at 18609 Dry Pond Dr , Pflugerville TX 78660-5546. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson, Renese M. can be contacted via phone (512) 270-1918.

Contact Information

Primary practice address
18609 Dry Pond Dr Pflugerville TX 78660-5546
Phone: (512) 270-1918
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 65174 Texas

Profile Details

NPI number 1821417049
LBN Legal business name Johnson, Renese M.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Jul 4th, 2022 - about 3 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 1821417049 NPPES
Texas MEDICAID 1821417049

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