Individual
MARY JOHNSTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5029 CORPORATE WOODS DR, SUITE 250, VIRGINIA BEACH, VA 23462-4376
(757) 473-3770
(757) 473-3768
Mailing address
5029 CORPORATE WOODS DR, SUITE 250, VIRGINIA BEACH, VA 23462-4376
(757) 473-3770
(757) 473-3768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001057
VA
Other
Enumeration date
02/20/2006
Last updated
07/08/2007
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