Individual
COLANDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR'S
Contact information
Practice address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(318) 449-4474
Mailing address
1605 MURRAY ST, ALEXANDRIA, LA 71301-6890
(318) 443-9035
(318) 443-9037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/10/2019
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