BENNY JOHNSON

BATON ROUGE, LA
NPI1356715676
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-11-24
Last Update Date2015-11-24
Business Address
-- BENNY JOHNSON
9270 SIEGEN LN
BATON ROUGE, LA 70810-1998
Phone number: 225-442-3540
Mailing Address
-- BENNY JOHNSON
9270 SIEGEN LN
BATON ROUGE, LA 70810-1998
Phone number: