Individual
MS. VICKI YVETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
17521 TRIPOLI BL., DUMFRIES, VA 22026
(703) 441-8000
(703) 441-1400
Mailing address
16354 RUSTY RUDDER DRIVE, WOODBRIDGE, VA 22191
(703) 398-9381
(703) 441-1400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006968
VA
104100000X
Social Worker
LC50077703
DC
Other
Enumeration date
03/10/2006
Last updated
03/18/2021
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