Doctor Name: | MRS. ANGELA DANETTE JOHNSON-CANTRELLE |
NPI Number: | 1619294741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 6333 |
Business Practice Address: | 704 Railroad Ave. Donaldsonville, LA - 70346 |
Business Phone Number: | 2258102316 |
Business Fax Number: | |
Mailing Address: | Po Box 1466, DONALDSONVILLE |
State: | LA |
Postal Code: | 703461466 |
Phone Number: | 2258102316 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2010 |
NPI Last Update Date: | 04/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6333 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |