Individual
JOAQUIN MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
J.D.
Contact information
Practice address
422 COLONIAL DR, BATON ROUGE, LA 70806-6505
(225) 292-5151
Mailing address
14227 STONE GATE DR, BATON ROUGE, LA 70816-1692
(225) 316-1412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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