Individual provider · Type 1 NPI
Diamond D. Shy-Johnson
Mental Health Counselor · St. Rose, LA
NPI number
1235618489
Active
Practice location
410 E Club Dr Apt F
St. Rose, LA 70087-3496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1235618489
Diamond D. Shy-Johnson's National Provider Identifier is 1235618489, issued on Aug 8, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Rose, LA. The record was last updated on Aug 8, 2018.