| NPI | 1902557507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICA JOHNSON Licensed Professional Counselor 318-924-0553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2025-01-10 |