Organization
VICK JOHNS COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL JOHNSON JR. MBA (DEPUTY DIRECTOR)
(571) 383-6008
Entity
Organization
Contact information
Practice address
17521 TRIPOLI BLVD, DUMFRIES, VA 22026-2239
(703) 441-8000
(703) 441-1400
Mailing address
16354 RUSTY RUDDER DR, WOODBRIDGE, VA 22191-6357
(703) 680-0124
(703) 441-1400
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0904005349
VA
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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