Individual
CHRISTINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3776 YOUREE DR, SHREVEPORT, LA 71105-2132
(318) 670-3159
Mailing address
304 AVONDALE LN, BOSSIER CITY, LA 71112-4247
(769) 204-0203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
02/05/2024
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