ROSE MARIE JOHNSON-FANT


Address: 19506 Kingston Green Ln, Houston, TX 77073-2856
Phone: 2814672347

ROSE MARIE JOHNSON-FANT (NPI# 1255493326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255493326
Entity Type Individual
Full Name ROSE MARIE JOHNSON-FANT
Other Name ROSE MARIE JOHNSON
Credential LPC
Practice Address 19506 Kingston Green Ln
Houston
TX 77073-2856
Practice Telephone 2814672347
Practice Fax Number 2814433212
Mailing Telephone 2814672347
Mailing Fax Number 2814433212
Enumeration Date 2006-12-15
Last Update Date 2014-06-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
20197 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 179112103 05

Office Location

Street Address 19506 KINGSTON GREEN LN
City HOUSTON
State TX
Zip Code 77073-2856

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City HOUSTON
Zip Code 77073

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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