Individual
CARNELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 METRO DR STE C1, ALEXANDRIA, LA 71301-3446
(318) 625-7467
(318) 625-7420
Mailing address
1403 METRO DR STE C1, ALEXANDRIA, LA 71301-3446
(318) 625-7467
(318) 625-7420
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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