Frederica Johnson
Frederica Johnson is a Mental Health Counselor in Shreveport, Louisiana. Qualified in 2018, 8 years ago. Practices with Brightside Medical PC, a 280-clinician group and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 8
- Licensed in
- LA
- In the registry since
- 2016
Practice location Address checks out
800 Spring St Ste 205Shreveport, LA 71101-3757
Phone: (318) 670-3170
Fax: (318) 670-3607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 7879 (LA) |
|---|
Record details
| NPI number | 1154781383 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 1, 2016 |
| Last updated in NPPES | June 14, 2024 |
| Certification date | June 14, 2024 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Brightside Medical Pc — 280 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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