Provider Demographics
NPI:1447874607
Name:POHL, JOHN C (LMFT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:POHL
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:746 DAYRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-2128
Mailing Address - Country:US
Mailing Address - Phone:512-537-7104
Mailing Address - Fax:
Practice Address - Street 1:4002 EAST, E HWY 290
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-7862
Practice Address - Country:US
Practice Address - Phone:512-537-7104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202758106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist