Individual
DELBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
512 S KINLER ST, BOUTTE, LA 70039-3408
(504) 900-6034
Mailing address
512 S KINLER ST, BOUTTE, LA 70039-3408
(504) 900-6034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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