Individual provider · Type 1 NPI

Jeanette Johnson

Mental Health Counselor · Shreveport, LA

NPI number 1619493145 Active

Practice location

4019 Greenwood Road
Shreveport, LA 71109

Call (318) 626-5462 Map

Fax (318) 626-5562

Mailing address

4019 Greenwood Rd
Shreveport, LA 71109-6422

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619493145

Jeanette Johnson's National Provider Identifier is 1619493145, issued on Aug 16, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jul 21, 2022.