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Charles Johnson
Mental Health Counselor in Shreveport, Louisiana
NPI 1265976047

Charles Johnson is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Charles Johnson practices in Shreveport, LA. The NPI Number for Charles Johnson is 1265976047 and holds a License No. (Louisiana).

The current practice location address for Charles Johnson is 1320 Harvard Ave, Shreveport, LA and can be reached out via phone at 318-294-1654.

Location: 1320 Harvard Ave, Shreveport, LA, 71108-5553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265976047
Provider Name
Charles Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1320 Harvard Ave, Shreveport, LA, 71108-5553
Phone Number
318-294-1654
Fax Number
Provider Enumeration Date
12/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1320 Harvard Ave
City
Shreveport
State
Louisiana
Zip
71103-2521
Phone Number
318-294-1654
Fax Number
person
Provider Business Mailing Address Details
Address
1320 Harvard Ave
City
Shreveport
State
Louisiana
Zip
71103-2521
Phone Number
318-294-1654
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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