Individual
MRS. KEONTA FRAZIER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4520 S SHERWOOD FOREST BLVD STE 104-418, BATON ROUGE, LA 70816-6400
(985) 517-5272
Mailing address
4520 S SHERWOOD FOREST BLVD STE 104-418, BATON ROUGE, LA 70816-6400
(985) 517-5272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6211
LA
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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