Individual
VIVECA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2435 DRUSILLA LN STE F, BATON ROUGE, LA 70809-1444
(225) 508-3253
(225) 647-3167
Mailing address
2435 DRUSILLA LN STE F, BATON ROUGE, LA 70809-1444
(225) 508-3253
(225) 647-3167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5583
LA
Other
Enumeration date
11/06/2012
Last updated
01/20/2021
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