Individual
ANIKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MACKEY PL STE 135, SHREVEPORT, LA 71118-2528
(318) 220-8423
Mailing address
4650 BETHUME DR, SHREVEPORT, LA 71109-6634
(318) 751-7856
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
811240931
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
06/11/2023
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