Individual provider · Type 1 NPI

Martinez Johnson, MHS

Mental Health Counselor · Shreveport, LA

NPI number 1679083786 Active

Practice location

2715 Mackey Pl Ste 119
Shreveport, LA 71118-2527

Fax (318) 383-6685

Mailing address

P.o. Box 56
Cotton Valley, LA 71018

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679083786

Martinez Johnson, MHS's National Provider Identifier is 1679083786, issued on Oct 3, 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 Oct 3, 2017.