Individual
KIRBY LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
Mailing address
2304 DESIREE ST, RUSTON, LA 71270-7135
(360) 951-6624
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6886
LA
Other
Enumeration date
06/20/2016
Last updated
09/08/2024
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