Individual
JOHNNY SHINNABERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 CIVIC CENTER BLVD, HOUMA, LA 70360-5937
(985) 333-2020
Mailing address
235 CIVIC CENTER BLVD, HOUMA, LA 70360-5937
(985) 333-2020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC11083
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
01/27/2026
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