Individual
ANEISIA JOHNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2711 ERNEST ST, LAKE CHARLES, LA 70601-8406
(337) 431-7194
(337) 431-7198
Mailing address
133 JEFFERSON DRIVE, LAKE CHARLES, LA 70601-8406
(337) 431-7194
(337) 431-7198
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
06/26/2023
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