person
Mr. Tracy Lamont Johnson
Pastoral Counselor in Shreveport, Louisiana
NPI 1962859132

Tracy Lamont Johnson is a Pastoral Counselor based in Shreveport, LA and is specialized in Pastoral. Tracy Lamont Johnson practices in Shreveport, LA. The NPI Number for Tracy Lamont Johnson is 1962859132 and holds a License No. (Louisiana).

The current practice location address for Tracy Lamont Johnson is 2924 Knight St, Shreveport, LA and can be reached out via phone at 318-754-3560.

Location: 2924 Knight St, Shreveport, LA, 71115-3411
person
Provider Profile Details
NPI Number
1962859132
Provider Name
Tracy Lamont Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2924 Knight St, Shreveport, LA, 71115-3411
Phone Number
318-754-3560
Fax Number
Provider Enumeration Date
05/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2924 Knight St
City
State
Zip
71105-2415
Phone Number
318-754-3560
Fax Number
person
Provider Business Mailing Address Details
Address
2924 Knight St
City
State
Zip
71105-2415
Phone Number
318-754-3560
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
(Louisiana)
Definition
Definition to come...
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