Individual
MATTHEW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2331 CAREY ST, SLIDELL, LA 70458-3627
(985) 646-6406
(985) 646-6460
Mailing address
2331 CAREY ST, SLIDELL, LA 70458-3627
(985) 646-6406
(985) 646-6460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5531
LA
Other
Enumeration date
07/31/2006
Last updated
08/30/2023
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