Individual
MS. SUSAN RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19056 GREENBUSH ROAD, PARKSLEY, VA 23421
(757) 665-1260
(757) 665-4184
Mailing address
PO BOX 1330, PARKSLEY, VA 23421-1330
(757) 665-1260
(757) 665-4184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005349
VA
Other
Enumeration date
08/31/2016
Last updated
03/17/2018
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