Individual
JONATHAN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(330) 758-4515
(330) 758-5121
Mailing address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(330) 758-4515
(330) 758-5121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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