Mr Chester E Johnson Jr, LPC | |
82o Jordan St, Suite 510a, Shreveport, LA 71101 | |
(318) 861-1090 | |
Not Available |
Full Name | Mr Chester E Johnson Jr |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 82o Jordan St, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1194199208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7635 (Louisiana) | Primary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
Entity Name | David Raines Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215933254 PECOS PAC ID: 4688586118 Enrollment ID: O20041007000508 |
Mailing Address | Practice Location Address |
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Mr Chester E Johnson Jr, LPC 820 Jordan St Ste 510a, Shreveport, LA 71101-4526 Ph: (318) 861-1090 | Mr Chester E Johnson Jr, LPC 82o Jordan St, Suite 510a, Shreveport, LA 71101 Ph: (318) 861-1090 |
Michael Schroeder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
David J Aubrey, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2924 Knight St, Shreveport, LA 71105 Phone: 318-754-3560 Fax: 318-779-0439 | |
Brittany Barshee Myles-evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2520 Crestwood Dr, Shreveport, LA 71118 Phone: 318-868-3093 Fax: 318-868-3094 | |
Cordaro Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Wilton Pl, Shreveport, LA 71107 Phone: 318-470-8691 | |
Kenxaivius Giles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 W 70th St Apt 401, Shreveport, LA 71106 Phone: 318-517-8205 | |
Malvanese Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 College St, Shreveport, LA 71104 Phone: 318-658-6099 | |
Darre'll J Wallace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1711 Marshall St, Shreveport, LA 71101 Phone: 318-226-9944 Fax: 318-226-9942 |