SAMUEL LEE JOHNSON

HARVEY, LA
NPI1184095556
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  1603)
Additional Taxonomies251S00000X 
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA  010494439)
171000000X Military Health Care Provider
171M00000X Case Manager/Care Coordinator
175T00000X Peer Specialist
225C00000X Rehabilitation Counselor
101Y00000X Counselor
101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
101YP1600X Counselor, Pastoral
103TA0400X Psychologist, Addiction (Substance Use Disorder)
103TC1900X Psychologist, Counseling
101YP2500X Counselor, Professional
(Licence: LA  5006)
Enumeration Date2015-10-12
Last Update Date2021-01-12
Business Address
Mr. SAMUEL LEE JOHNSON CAC, CCGC
2439 MANHATTAN BLVD STE 102-4
HARVEY, LA 70058-5473
Phone number: 504-261-4976
Mailing Address
Mr. SAMUEL LEE JOHNSON CAC, CCGC
PO BOX 2637
HARVEY, LA 70059-2637
Phone number: 504-261-4976