Individual
JOANNE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16712 JEFFERSON DAVIS HWY, DUMFRIES, VA 22026-2115
(855) 417-2486
(703) 221-4115
Mailing address
187 WOODSTREAM BLVD # A, STAFFORD, VA 22556-4629
(540) 729-4104
(703) 204-9001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005960
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001210981
RN LICENSE
TX
Enumeration date
04/16/2015
Last updated
09/10/2022
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