Individual
JOHNATHON ROBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
(318) 398-4314
Mailing address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
(318) 398-4314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4485
LA
106H00000X
Marriage & Family Therapist
1149
LA
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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