Individual
JAVOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 N MAIN ST STE B, FARMVILLE, VA 23901-1300
(434) 234-2410
Mailing address
201 N MAIN ST STE B, FARMVILLE, VA 23901-1300
(434) 234-2410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3095-05-001
VA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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