Individual
BEVERLY R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 FERRAND ST STE 23, MONROE, LA 71201
(318) 323-0463
(318) 323-0465
Mailing address
2404 FERRAND ST STE 23, MONROE, LA 71201-3233
(318) 323-0463
(318) 323-0465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
07/21/2022
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