Individual
PRINCETTA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MACKEY PL, SUITE 135, SHREVEPORT, LA 71118-2544
(318) 220-8423
Mailing address
2715 MACKEY PL, SUITE 135, SHREVEPORT, LA 71118-2544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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