Individual
KAVITHA SARAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10400 WARWICK BLVD, NEWPORT NEWS, VA 23601-3705
(757) 596-7938
Mailing address
15 DIGGES DR, NEWPORT NEWS, VA 23602-7318
(203) 671-4964
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001240
VA
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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