Individual
VERNON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6805 CASTLEWOOD AVENUE, SUFFOLK, VA 23435
(757) 439-0853
(757) 673-4877
Mailing address
6805 CASTLEWOOD CIR, SUFFOLK, VA 23435-3026
(757) 439-0853
(757) 673-4877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1421-01-001
VA
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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