Individual
KENNARIUS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
9663 HERON SPRINGS DR, SHREVEPORT, LA 71106-1662
(318) 573-2676
Mailing address
9663 HERON SPRINGS DR, SHREVEPORT, LA 71106-1662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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