Individual
ADRIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
331 MILAM ST, SHREVEPORT, LA 71101-5353
(318) 213-0904
(318) 213-0905
Mailing address
6902 BROADACRES RD, SHREVEPORT, LA 71129-2408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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