Individual
ALISHA D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5729 VOLSUNG CT APT 101, VIRGINIA BEACH, VA 23462-5648
(757) 987-2854
Mailing address
5729 VOLSUNG CT APT 101, VIRGINIA BEACH, VA 23462-5648
(757) 987-2854
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
VA
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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