MEDICARE: MONIQUE JOHNSON LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1083239917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE JOHNSON LPC

Provider Business Mailing Address
First Line	:	1942 W GRAY ST UNIT 232
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4816
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1942 W GRAY ST UNIT 232
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4816
Country	:	US
Telephone Number	:	832-303-1370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2020
Last Update Date	:	12/09/2024

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Directions to “ MONIQUE JOHNSON LPC” Practice Location

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