Individual provider · Type 1 NPI
Broddrick Ronzell Johnson, LPC
Professional Counselor · Thibodaux, LA
NPI number
1770191801
Active
Practice location
102 Iris St
Thibodaux, LA 70301-4939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 8875 (LA) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Professional Counselor: Definition to come...
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About NPI 1770191801
Broddrick Ronzell Johnson, LPC's National Provider Identifier is 1770191801, issued on Jul 15, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Thibodaux, LA. The record was last updated on Apr 22, 2024.