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Tracy Johnson
NPI 1962859132 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2924 Knight St
Shreveport, LA 71105 - Phone
- (318) 754-3560
- Organisation at this address
- Cao Care Inc
Inner Space Llc
Finding A Better Me
Mbrace Wellness, Llc
Ebenezer Supplies IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 101
Registry record
- Primary taxonomy
- Pastoral Counselor
101YP1600X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana