Provider Demographics
NPI:1346811528
Name:HABIBI, JOHANA KRISTINE
Entity Type:Individual
Prefix:
First Name:JOHANA
Middle Name:KRISTINE
Last Name:HABIBI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 WOODWAY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-1884
Mailing Address - Country:US
Mailing Address - Phone:281-794-8841
Mailing Address - Fax:832-917-0121
Practice Address - Street 1:4801 WOODWAY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-1884
Practice Address - Country:US
Practice Address - Phone:281-794-8841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor