Individual
JOHNNY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4480 GENERAL DE GAULLE DR, NEW ORLEANS, LA 70131-6941
(504) 648-6756
Mailing address
7508 BURKE RD, NEW ORLEANS, LA 70127-1614
(504) 518-2376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006565845
LA
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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