Individual
ROBERT EARL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
Mailing address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
473407869
LA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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