Individual provider · Type 1 NPI

Jamie Johnson

Mental Health Counselor · Shreveport, LA

NPI number 1083070916 Active

Practice location

1434 Hawn Ave Ste 12
Shreveport, LA 71107-6508

Call (318) 675-0225 Map

Fax (318) 675-0226

Mailing address

PO Box 78776
Shreveport, LA 71137-8776

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083070916

Jamie Johnson's National Provider Identifier is 1083070916, issued on Jan 7, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jan 7, 2016.