Individual
MRS. ASHLEIGH NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 79TH AVE, BATON ROUGE, LA 70807-5534
(225) 892-4763
Mailing address
2255 79TH AVE, BATON ROUGE, LA 70807-5534
(225) 892-4763
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6894
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2145371
—
LA
Enumeration date
09/24/2018
Last updated
09/17/2024
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