person
Clementine Johnson
Mental Health Counselor in Shreveport, Louisiana
NPI 1518601095

Clementine Johnson is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Clementine Johnson practices in Shreveport, LA. The NPI Number for Clementine Johnson is 1518601095 and holds a License No. (Louisiana).

The current practice location address for Clementine Johnson is 3510 Linwood Ave, Shreveport, LA and can be reached out via phone at 318-636-4194 and via fax at 318-636-4196.

Location: 3510 Linwood Ave, Shreveport, LA, 71103-4512
person
Provider Profile Details
NPI Number
1518601095
Provider Name
Clementine Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3510 Linwood Ave, Shreveport, LA, 71103-4512
Phone Number
318-636-4194
Fax Number
318-636-4196
Provider Enumeration Date
04/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171MOOOOOX 05 LA
institution
Provider Business Practice Location Address Details
Address
3510 Linwood Ave
City
State
Zip
71103-4512
Phone Number
318-636-4194
Fax Number
318-636-4196
person
Provider Business Mailing Address Details
Address
3510 Linwood Ave
City
State
Zip
71103-4512
Phone Number
318-636-4194
Fax Number
318-636-4196
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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