Individual
MIRANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9487 BROOKLINE AVE, BATON ROUGE, LA 70809-1429
(225) 930-2993
(225) 930-2991
Mailing address
9487 BROOKLINE AVE, BATON ROUGE, LA 70809-1429
(225) 930-2993
(225) 930-2991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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