Most Relevant Information
Provider Data
| NPI Number: | 1003529603 |
| Provider Name: | HALEY JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/29/2022 |
| Last Updated: | 12/29/2022 |
Provider Practice Location
4606 LEE ST
ALEXANDRIA
LA
713023235
Practice Location Phone/Fax
| Phone: | 3184411105 |
| Fax: |
Provider Mailing Location
4606 LEE ST
ALEXANDRIA
LA
713023235
Provider Mailing Phone/Fax
| Phone: | 3184411105 |
| Fax: |