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Individual

DORLA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CEO

Contact information

Practice address
3026 TYRE NECK RD STE J, PORTSMOUTH, VA 23703-4500
(757) 609-8344
(855) 423-7971
Mailing address
PO BOX 9641, CHESAPEAKE, VA 23321-9641
(757) 609-8344
(855) 423-7971

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732000554
VA

Other

Enumeration date
05/23/2019
Last updated
10/26/2020
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