Individual
MS. TONIA JEANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
111 TOWN HOLLOW RD, CEDAR BLUFF, VA 24609-9622
(276) 963-3554
Mailing address
1077 CRACKERS NECK RD, CLEVELAND, VA 24225-7081
(276) 254-0837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102843
VA
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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