Individual provider · Type 1 NPI

Ethel Johnson

Mental Health Counselor · Shreveport, LA

NPI number 1386191872 Active

Practice location

2605 Betty St
Shreveport, LA 71108-5553

Call (318) 216-3748 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386191872

Ethel Johnson's National Provider Identifier is 1386191872, issued on Sep 1, 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 Sep 1, 2016.