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Individual

MR. CHRISTOPHER L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
142 LAURA DR STE D, THIBODAUX, LA 70301-2988
(985) 446-4114
(985) 446-4112
Mailing address
PO BOX 29, THIBODAUX, LA 70302-0029
(985) 446-4114
(985) 446-4112

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/20/2017
Last updated
07/20/2017
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