CHARLES JOHNSON

SHREVEPORT, LA
NPI1265976047
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-12-13
Last Update Date2016-12-13
Business Address
-- CHARLES JOHNSON
1320 HARVARD AVE
SHREVEPORT, LA 71103-2521
Phone number: 318-294-1654
Mailing Address
-- CHARLES JOHNSON
2605 BETTY ST
SHREVEPORT, LA 71108-5553
Phone number: 318-216-3748
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