Individual
JOHNNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8245 WILLIAMSON RD, ROANOKE, VA 24019-6951
(540) 562-0800
(540) 562-0900
Mailing address
8245 WILLIAMSON RD, ROANOKE, VA 24019-6951
(540) 562-0800
(540) 562-0900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015663
VA
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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