NPI 1104385848

Zacharia Johnson

Practitioner Child Mental Illness Respite Care West Monroe, LA

Practice location

Address: 198 Parkway Cir, West Monroe, LA 71292-8032
Phone: (318) 600-4225
Fax: (318) 600-4228

Registered specialties

Child Mental Illness Respite Care Primary

Respite Care Facility Taxonomy 385HR2055X

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Registry record

NPI: 1104385848
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2019
Record last updated: 12 Mar 2019

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.