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Organization
VICK JOHNS COUNSELING AND CONSULTING
Active
Organization
VICK JOHNS COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL JOHNSON JR. MBA (DEPUTY DIRECTOR)
(571) 383-6008
Entity
Organization
Contact information
Practice address
17521 TRIPOLI BLVD, DUMFRIES, VA 22026-2239
(703) 441-8000
(703) 441-1400
Mailing address
16354 RUSTY RUDDER DR, WOODBRIDGE, VA 22191-6357
(703) 680-0124
(703) 441-1400
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0904005349
VA
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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