Provider Information for 1891161576
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Mr. CHRISTOPHER JOHNSON LPC
Other Names:Professional Name:Mr. CHRIS JOHNSON LPCSex: Male
NPI: 1891161576
Last Updated: 2023-04-20
Certification Date: 2023-04-20
Certification Date: 2023-04-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1891161576 | ||||||||
| Enumeration Date | 2015-08-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 15288 MURANO AVE PRAIRIEVILLE, LA 70769-4684 United States Phone: 225-810-6500 | Fax: | ||||||||
| Primary Practice Address | 8706 JEFFERSON HWY BATON ROUGE, LA 70809-2233 United States Phone: 225-926-9706 | Fax:225-926-9708 | ||||||||
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