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Individual

DR. VIRGINIA JOHNSON

Active
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Individual

DR. VIRGINIA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PSY23518
CA
103G00000X
Clinical Neuropsychologist
PSY23518
CA
103T00000X
Psychologist
PSY23518
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY23518
CA
103TA0700X
Adult Development & Aging Psychologist
PSY23518
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY23518
CA
103TC0700X
Clinical Psychologist
Primary
PSY23518
CA
103TC1900X
Counseling Psychologist
PSY23518
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY23518
CA
103TF0000X
Family Psychologist
PSY23518
CA
103TF0200X
Forensic Psychologist
PSY23518
CA

Other

Enumeration date
12/22/2010
Last updated
12/22/2010
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