Individual
CAROLE JOHNSON ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8575 FERN AVE STE 108, SHREVEPORT, LA 71105-5677
(318) 459-7702
Mailing address
2623 SPRUCE CIR, BOSSIER CITY, LA 71111-5121
(318) 230-9747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4428
LA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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