Individual
SHAWNEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 LINE AVE, 315, SHREVEPORT, LA 71101-4621
(318) 221-2828
Mailing address
3688 HIGHWAY 71, COUSHATTA, LA 71019-5103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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