Individual
DIAMOND D SHY-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 E CLUB DR APT F, SAINT ROSE, LA 70087-3496
(504) 335-9632
Mailing address
410 E CLUB DR APT F, SAINT ROSE, LA 70087-3496
(504) 335-9632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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