Individual
DELONDER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
8080 CROWDER BLVD STE A, NEW ORLEANS, LA 70127-1077
(504) 246-2454
(504) 246-2458
Mailing address
PO BOX 13152, NEW ORLEANS, LA 70185-3152
(225) 810-8704
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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