Individual
MS. JUANITA S. JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
20 W BANK ST, SUITE 5, PETERSBURG, VA 23803-3279
(804) 863-1689
(804) 863-1695
Mailing address
1093 ASBURY CHURCH RD, HALIFAX, VA 24558-2947
(434) 476-7139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
07010026
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089366
—
VA
05
—
117957
—
VA
05
—
140491
—
VA
05
—
224111
—
VA
Enumeration date
06/15/2006
Last updated
07/09/2007
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