Individual
KADINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 KENNON LN # 42, RUSTON, LA 71270-8815
(318) 254-7050
(318) 254-7053
Mailing address
504 KENNON LN # 42, RUSTON, LA 71270-8815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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