Individual
LESLIE A. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
901 PRESTON AVENUE, SUITE 202, CHARLOTTESVILLE, VA 22903
(434) 979-5535
Mailing address
120 WOODSTOCK DRIVE, CHARLOTTESVILLE, VA 22901
(434) 979-5535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002275
VA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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