NPI 1013169739

Donetta Guillory Johnson, LCSW

Practitioner Clinical Social Worker Zachary, LA

Practice location

Address: 3651 Main Street, Zachary, LA 70791-0770
Phone: (225) 209-0850
Fax: (888) 620-5988
Mailing address: PO Box 770, Zachary, LA 70791-0770

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 10148 (LA)

Other Social Worker providers in Louisiana →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 10148 (LA)

Registry record

NPI: 1013169739
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Oct 2008
Record last updated: 12 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.