CHARLES JOHNSON

BATON ROUGE, LA
NPI1942674791
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  339)
Enumeration Date2015-11-17
Last Update Date2015-11-17
Business Address
-- CHARLES JOHNSON
5925 GREENWELL SPRINGS RD
BATON ROUGE, LA 70806-1620
Phone number: 225-926-7911
Mailing Address
-- CHARLES JOHNSON
5925 GREENWELL SPRINGS RD
BATON ROUGE, LA 70806-1620
Phone number: 225-926-7911
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