Individual
CHRISTINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 S PINE ST STE C, VIVIAN, LA 71082-3623
(318) 375-2780
(318) 375-2780
Mailing address
1028 S PINE ST STE C, VIVIAN, LA 71082-3623
(318) 375-2780
(318) 375-2780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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