Individual
EDWARD C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24020 PLANK RD, ZACHARY, LA 70791-6429
(225) 654-9291
Mailing address
24020 PLANK RD, ZACHARY, LA 70791-6429
(225) 654-9291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000000000
LA
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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