Individual
GARYEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 PARK PLACE DR, 68, GRETNA, LA 70056-3059
(504) 316-5845
Mailing address
2350 PARK PLACE DR, 68, GRETNA, LA 70056-3059
(504) 316-5845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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