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Individual

BENNY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9270 SIEGEN LN, BATON ROUGE, LA 70810-1998
(225) 442-3540
Mailing address
9270 SIEGEN LN, BATON ROUGE, LA 70810-1998

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/24/2015
Last updated
11/24/2015
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