Individual
TRACEY DENISE JOHNSON-KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-R
Contact information
Practice address
4000 SOLERA DR, MIDLOTHIAN, VA 23113-4092
(804) 591-8671
(866) 622-7868
Mailing address
4000 SOLERA DR, MIDLOTHIAN, VA 23113-4092
(804) 591-8671
(866) 622-7868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704010255
VA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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