Individual
ASHLEY NICOLE CLAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2519 HUEY P LONG AVE, GRETNA, LA 70053-6919
(504) 975-8011
Mailing address
1200 MONROE ST, GRETNA, LA 70053-2307
(504) 309-6798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063728491
—
LA
Enumeration date
12/05/2017
Last updated
07/26/2023
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