Individual
ESSENCE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 KALISTE SALOOM RD STE 117, LAFAYETTE, LA 70508
(337) 234-7109
Mailing address
850 KALISTE SALOOM RD STE 117, LAFAYETTE, LA 70508-4230
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
02/28/2019
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