Provider Demographics
NPI:1013192897
Name:JOHNSON, DAPHNE JOYCE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DAPHNE
Middle Name:JOYCE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 FRONT ST STE 8
Mailing Address - Street 2:
Mailing Address - City:BROOKSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77423-8503
Mailing Address - Country:US
Mailing Address - Phone:713-489-7799
Mailing Address - Fax:281-375-9191
Practice Address - Street 1:5001 FRONT ST STE 8
Practice Address - Street 2:
Practice Address - City:BROOKSHIRE
Practice Address - State:TX
Practice Address - Zip Code:77423-8503
Practice Address - Country:US
Practice Address - Phone:713-489-7799
Practice Address - Fax:281-375-9191
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58879101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional