Individual
FREDERICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SPRING ST STE 205, SHREVEPORT, LA 71101-3757
(318) 670-3170
(318) 670-3607
Mailing address
800 SPRING ST STE 205, SHREVEPORT, LA 71101-3757
(318) 670-3170
(318) 670-3607
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7879
LA
Other
Enumeration date
03/01/2016
Last updated
06/14/2024
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