Individual
MS. SHERRIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
600 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 371-3223
(540) 371-3753
Mailing address
3708 OVERVIEW DR, FREDERICKSBURG, VA 22408-8765
(540) 361-9564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001768
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082964
SENTARA
VA
01
—
209338
ANTHEM
VA
01
—
278484
MDIPA
VA
05
—
4945123
—
VA
Enumeration date
06/28/2006
Last updated
07/09/2007
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