SHANE JOHNSON

NEW ORLEANS, LA
NPI1740723303
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-11-29
Last Update Date2016-11-29
Business Address
-- SHANE JOHNSON
3447 DERBY PL
NEW ORLEANS, LA 70119-2013
Phone number: 504-756-4028
Mailing Address
-- SHANE JOHNSON
3447 DERBY PL
NEW ORLEANS, LA 70119-2013
Phone number: 504-756-4028
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