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Individual

KATHY L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHP A QMHP C

Contact information

Practice address
4009 SCHOONER TRL, CHESAPEAKE, VA 23321-3217
(757) 409-2851
Mailing address
1535 MT VERNON AVE, PORTSMOUTH, VA 23707-3511
(757) 409-2851

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
0732004768
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0709025903
VA
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker

Other

Enumeration date
11/18/2015
Last updated
01/06/2026
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