Individual
CHANEL RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 HUGUENOT RD STE 202, NORTH CHESTERFIELD, VA 23235-4314
(804) 350-7952
Mailing address
2423 GOLDEN GARDEN CIR, CHESTER, VA 23836-6213
(757) 508-2068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014346
VA
Other
Enumeration date
01/22/2025
Last updated
01/29/2025
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