Individual
ASHLEY RAQUEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
2157 GREENBRIER ST, CHARLESTON, WV 25311-9623
(304) 553-0051
Mailing address
627 CEDAR LAKES DR, RIPLEY, WV 25271-6502
(304) 532-2728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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