Individual
SHUNTEL RAMONA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8891 HOLLEY FARM ROAD, BASTROP, LA 71220
(318) 737-6175
Mailing address
8891 HOLLEY FARM RD, BASTROP, LA 71220-7374
(318) 737-6175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/13/2018
Last updated
08/15/2018
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