JOHNNY GREEN

ALEXANDRIA, LA
NPI1457726481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-12-02
Last Update Date2015-12-02
Business Address
-- JOHNNY GREEN
92 TENNESSEE AVE
ALEXANDRIA, LA 71301-5692
Phone number: 318-542-2993
Mailing Address
-- JOHNNY GREEN
92 TENNESSEE AVE
ALEXANDRIA, LA 71301-5692
Phone number: 318-542-2993