Individual
MR. JORDAN R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RESIDENT IN MFT
Contact information
Practice address
121 S ALFRED ST, SUITE 9, ALEXANDRIA, VA 22314-3049
(571) 766-8014
Mailing address
121 S ALFRED ST, SUITE 9, ALEXANDRIA, VA 22314-3049
(571) 766-8014
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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