Provider Demographics
NPI:1295455384
Name:LOH, JOHN DAVIS (LMFT-A)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:DAVIS
Last Name:LOH
Suffix:
Gender:M
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 WILDWOOD FOREST DR APT 6307
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2773
Mailing Address - Country:US
Mailing Address - Phone:713-689-8289
Mailing Address - Fax:
Practice Address - Street 1:25511 BUDDE RD STE 1901
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2097
Practice Address - Country:US
Practice Address - Phone:832-306-2969
Practice Address - Fax:888-664-0434
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204119106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist