Deena Marie Johnson, R.N.

Individual provider Active NPI Mental Health Counselor · Oberlin, LA

NPI 1295979540 · NPPES record last updated Apr 29, 2009

Key facts

NPI
1295979540
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
074947 (LA)
Practice address
402 Industrial Dr
Oberlin, LA 70655-3519
Phone
(337) 639-3001
Fax
(337) 639-3008
NPI assigned
Apr 29, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
074947LAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 074947 LA Yes

Addresses

Primary practice location

402 Industrial Dr
Oberlin, LA 70655-3519

Mailing address

402 Industrial Dr
Oberlin, LA 70655-3519
Phone (337) 639-3001

Other providers in Oberlin, LA

All providers in Oberlin, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.