Individual
RONALD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAC
Contact information
Practice address
2829 4TH AVE, SUITE 200, LAKE CHARLES, LA 70601-7887
(337) 433-8281
Mailing address
2829 4TH AVE STE 200, LAKE CHARLES, LA 70601-7834
(337) 433-8281
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1298
LA
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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