Roxanna Johnson
Counselor, Mental Health in Gonzales, LA. Individual provider (NPI-1).
NPI number1124479142
StatusActive
Last updated in NPPESJan 13, 2023
Details
- NPI
- 1124479142
- Entity type
- Individual (NPI-1)
- Name
- Ms. Roxanna Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2016
- Certification date
- Jan 13, 2023
- Last updated
- Jan 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 7132 | LA | Yes |
| 171M00000X | Case Manager/Care Coordinator | RSW7132 | LA |
Practice location
1724 N Burnside Ave Ste 7Gonzales, LA 70737-2157
Phone 225-644-8565
Mailing address
1724 N Burnside Ave Ste 7Gonzales, LA 70737-2157
Phone 225-644-8565
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