Provider Information for 1518113141
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Ms. CYNTHIA JOHNSON LCPC
Sex: Female
NPI: 1518113141
Last Updated: 2021-05-29
Certification Date: 2021-05-29
Certification Date: 2021-05-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1518113141 | ||||||||
| Enumeration Date | 2008-08-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 49 AUBURN DR EDGECLIFF VILLAGE, TX 76134-1200 United States Phone: 217-552-5501 | Fax: | ||||||||
| Primary Practice Address | 2224 SPRING CREEK DR SPRING, TX 77373-6138 United States Phone: 281-827-7854 | Fax: | ||||||||
| Secondary Practice Address(es) | 44 E MAIN ST | ||||||||
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