Individual
CHARLES A JOHNSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
25 MALLARD CT, BECKLEY, WV 25801-3664
(304) 255-7526
Mailing address
25 MALLARD CT, BECKLEY, WV 25801-3664
(304) 255-7526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2957
WV
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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