Individual
MS. KELLY ELAINE JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 BIENVILLE ST STE G, NEW ORLEANS, LA 70119-5163
(504) 988-0301
(504) 988-0302
Mailing address
4000 BIENVILLE ST STE G, NEW ORLEANS, LA 70119-5163
(504) 988-0301
(504) 988-0302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC11049
LA
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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