Individual
ALEXIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC,LPC
Contact information
Practice address
1000 COMMERCIAL LN, SUFFOLK, VA 23434-8148
(757) 942-1069
Mailing address
1000 COMMERCIAL LN, SUFFOLK, VA 23434-8148
(757) 942-1069
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007945
VA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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