Individual
MRS. AMY CAROL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 BYRD AVE STE 200, RICHMOND, VA 23230-3033
(804) 852-7416
Mailing address
10203 DELRAY RD, GLEN ALLEN, VA 23060-3016
(804) 264-9745
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/05/2017
Last updated
11/30/2018
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