Individual
ELIJAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1577 N LITTLE JOHN DR, BATON ROUGE, LA 70815-2345
(229) 406-2486
Mailing address
1577 N LITTLE JOHN DR, BATON ROUGE, LA 70815-2345
(229) 406-2486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
059171796
GA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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