Individual provider · Type 1 NPI

Charles Johnson

Mental Health Counselor · Shreveport, LA

NPI number 1265976047 Active

Practice location

1320 Harvard Ave
Shreveport, LA 71103-2521

Call (318) 294-1654 Map

Mailing address

2605 Betty St
Shreveport, LA 71108-5553

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1265976047

Charles Johnson's National Provider Identifier is 1265976047, issued on Dec 13, 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 Dec 13, 2016.