Individual
MISS JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RSW
Contact information
Practice address
4700 WICHERS DR STE 206, MARRERO, LA 70072-3054
(504) 645-5506
Mailing address
4700 WICHERS DR STE 206, MARRERO, LA 70072-3054
(504) 645-5506
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
LA
Other
Enumeration date
11/29/2016
Last updated
01/04/2024
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