JAMIE JOHNSON

SHREVEPORT, LA
NPI1083070916
Professional NameJAMIE JOHNSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-01-07
Last Update Date2016-01-07
Business Address
-- JAMIE JOHNSON
1434 HAWN AVE STE 12
SHREVEPORT, LA 71107-6508
Phone number: 318-675-0225
Mailing Address
-- JAMIE JOHNSON
PO BOX 78776
SHREVEPORT, LA 71137-8776
Phone number: 318-675-0225