Individual
MELISSA NOELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E BROAD ST STE D, FALLS CHURCH, VA 22046-4530
(703) 534-5100
Mailing address
12907 ALTON SQ APT 103, HERNDON, VA 20170-5833
(540) 238-5146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704008661
VA
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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