Individual provider · Type 1 NPI

Vivian Johnson, MS

Mental Health Counselor · Shreveport, LA

NPI number 1114561370 Active

Practice location

3776 Youree Dr
Shreveport, LA 71105-2132

Mailing address

PO Box 8503
Shreveport, LA 71148-8503

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114561370

Vivian Johnson, MS's National Provider Identifier is 1114561370, issued on Oct 31, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Oct 31, 2019.