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1356715676
BENNY JOHNSON
BATON ROUGE, LA
NPI
1356715676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-11-24
Last Update Date
2015-11-24
Business Address
-- BENNY JOHNSON
9270 SIEGEN LN
BATON ROUGE, LA 70810-1998
Phone number: 225-442-3540
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Mailing Address
-- BENNY JOHNSON
9270 SIEGEN LN
BATON ROUGE, LA 70810-1998
Phone number:
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