| NPI | 1730447384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS JOHNSON Private Pratitioner 504-265-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |