Melody Johnson, LCSW
Social Worker, Clinical in Jefferson, LA. Individual provider (NPI-1).
NPI number1962027425
StatusActive
Last updated in NPPESJun 10, 2020
Details
- NPI
- 1962027425
- Entity type
- Individual (NPI-1)
- Name
- Melody Johnson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2020
- Certification date
- Jun 10, 2020
- Last updated
- Jun 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10934 | LA | Yes |
Practice location
2401 Audubon TrceJefferson, LA 70121-1554
Phone 337-298-8691
Mailing address
2401 Audubon TrceJefferson, LA 70121-1554
Phone 337-298-8691
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All 13 Clinical Social Worker providers in Jefferson · All 754 providers in Jefferson
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