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Individual
VANESSA JOHNSON
Active
Individual
VANESSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012594
VA
101YP2500X
Professional Counselor
0704012717
VA
Other
Enumeration date
12/09/2022
Last updated
08/08/2023
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