Individual
GREGORY DYLAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 GARRISONVILLE RD STE 201, STAFFORD, VA 22554-1575
(540) 602-7615
Mailing address
306 GARRISONVILLE RD STE 201, STAFFORD, VA 22554-1575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015419
VA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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