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1942674791
CHARLES JOHNSON
BATON ROUGE, LA
NPI
1942674791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 339)
Enumeration Date
2015-11-17
Last Update Date
2015-11-17
Business Address
-- CHARLES JOHNSON
5925 GREENWELL SPRINGS RD
BATON ROUGE, LA 70806-1620
Phone number: 225-926-7911
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Mailing Address
-- CHARLES JOHNSON
5925 GREENWELL SPRINGS RD
BATON ROUGE, LA 70806-1620
Phone number: 225-926-7911
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