Individual
LEAH I JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1476 PATRICK HENRY AVE, CHARLOTTE COURT HOUSE, VA 23923-3733
(443) 820-6837
Mailing address
1476 PATRICK HENRY AVE, CHARLOTTE COURT HOUSE, VA 23923-3733
(443) 820-6837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A15668
NC
101YP2500X
Professional Counselor
Primary
LC13066
MD
390200000X
Student in an Organized Health Care Education/Training Program
LGP9979
MD
Other
Enumeration date
02/26/2020
Last updated
09/13/2022
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