Provider Demographics
NPI:1811938061
Name:JOHNSON, SHANNON SMITH (LMFT, LCDC)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:SMITH
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LMFT, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13333 SOUTHWEST FWY
Mailing Address - Street 2:HOUSTON CENTER FOR CHRISTIAN COUNSELING
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3581
Mailing Address - Country:US
Mailing Address - Phone:281-277-8811
Mailing Address - Fax:281-277-8827
Practice Address - Street 1:13333 SOUTHWEST FWY
Practice Address - Street 2:#230
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3581
Practice Address - Country:US
Practice Address - Phone:281-277-8811
Practice Address - Fax:281-277-8827
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5992101YA0400X
TX3652106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist