Individual
MRS. GWANETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2435 DRUSILLA LN, SUITE I, BATON ROUGE, LA 70809-1444
(225) 405-7052
Mailing address
10841 CLASSIQUE DR, BATON ROUGE, LA 70815-4894
(225) 405-7052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3544
LA
Other
Enumeration date
01/22/2016
Last updated
03/28/2016
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