Individual
MISS TONI TENNILLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2244 EXECUTIVE DR, HAMPTON, VA 23666-2430
(757) 827-1001
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010531
VA
Other
Enumeration date
11/14/2023
Last updated
01/21/2025
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