Letriece Shanet Johnson, ACSW Valid NPI
Individual provider · Clinical Social Worker · Lake Jackson, TX
- NPI
- 1245897057
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 111826 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-05-28
- Last updated
- 2024-10-01
Practice location
112 Frostwood Dr
Lake Jackson, TX 77566-4436
(619) 925-5442