Individual
MS. SHIRLEY LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 SAINT PAUL CHURCH RD, MARION, LA 71260-4835
(318) 548-2377
Mailing address
480 SAINT PAUL CHURCH RD, MARION, LA 71260-4835
(318) 548-2377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003189742
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003189742
—
LA
Enumeration date
09/11/2017
Last updated
07/21/2022
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