Organization
REBECCA A JOHNSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA JOHNSON (LCSW)
(337) 781-2186
Entity
Organization
Contact information
Practice address
110 NATHALIE ST, LAFAYETTE, LA 70506-3540
(337) 237-2433
Mailing address
132 ALONDA DR, LAFAYETTE, LA 70503-4228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3572
LA
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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