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Individual

CEDRIC JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4926 W BROAD ST, RICHMOND, VA 23230-3122
(804) 998-8414
Mailing address
4926 W BROAD ST, RICHMOND, VA 23230-3122
(804) 998-8414

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
VA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
VA

Other

Enumeration date
07/16/2025
Last updated
07/16/2025
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