Individual
MR. EARL JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPA
Contact information
Practice address
16332 NATALIE LN, PRAIRIEVILLE, LA 70769-5378
(225) 773-3999
(225) 410-3599
Mailing address
16332 NATALIE LN, PRAIRIEVILLE, LA 70769-5378
(225) 773-3999
(225) 410-3599
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
10/26/2018
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