Dominique Johnson
Dominique Johnson is a Mental Health Counselor in Mansfield, Louisiana. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
809 Polk StMansfield, LA 71052-2452
Phone: (318) 871-5566
Fax: (318) 871-1076
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1285182626 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 14, 2016 |
| Last updated in NPPES | August 29, 2019 |
| Mailing address | Po Box 828, Mansfield, LA 71052-0828 |
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