Individual
LOREN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LMHC, LPCC
Contact information
Practice address
5622 CAPITO ST, ROANOKE, VA 24019-4804
(540) 915-3966
Mailing address
5622 CAPITO ST, ROANOKE, VA 24019-4804
(540) 915-3966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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