Individual
PAUL MARK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2955 RIDGELAKE DR STE 105, METAIRIE, LA 70002-4947
(318) 728-2970
Mailing address
6826 VETERANS BLVD., 311, METAIRIE, LA 70003
(978) 729-3987
(504) 264-7562
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9110
LA
101YP2500X
Professional Counselor
Primary
9110
LA
101YP2500X
Professional Counselor
PLC9110
LA
Other
Enumeration date
03/14/2018
Last updated
03/30/2026
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