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Individual

BETTY DENISE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
610 THIMBLE SHOALS BLVD, STE. 103, NEWPORT NEWS, VA 23606-2573
(757) 873-3353
(757) 873-1810
Mailing address
610 THIMBLE SHOALS BOULEVARD, STE. 103, NEWPORT NEWS, VA 23606
(757) 873-3353
(757) 873-1810

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001776
VA
103TP2701X
Group Psychotherapy Psychologist
0812000197
VA

Other

Enumeration date
10/04/2012
Last updated
10/04/2012
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