Individual
KAYLA MCGUIRE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 S MAIN ST, CHATHAM, VA 24531-5436
(434) 432-4443
Mailing address
705 MAIN ST, DANVILLE, VA 24541-1803
(434) 791-3630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013460
VA
Other
Enumeration date
10/06/2022
Last updated
04/11/2024
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