Individual
VICTORIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
543 STONER AVE, SHREVEPORT, LA 71101-4122
(318) 673-9901
Mailing address
416 TONY DR, SHREVEPORT, LA 71106-7533
(318) 674-0550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
LA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
08/11/2025
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