MEDICARE: DEBORAH JOHNSON-JAMES LCSW

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	1041C0700X	Clinical Social Worker	60657	TX

General Provider Information

NPI Number	:	1922759307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH JOHNSON-JAMES LCSW

Provider Business Mailing Address
First Line	:	1908 ACACIAWOOD WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051-0006
Country	:	US
Telephone Number	:	775-348-7422
Fax Number	:

Provider Business Practice Location Address
First Line	:	1908 ACACIAWOOD WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051-0006
Country	:	US
Telephone Number	:	775-348-7422
Fax Number	:

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

Provider Enumeration Date	:	01/17/2022
Last Update Date	:	01/17/2022

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