Individual
MELISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
124 E BROAD ST STE D, FALLS CHURCH, VA 22046-4530
(202) 505-3626
Mailing address
124 E BROAD ST STE D, FALLS CHURCH, VA 22046-4530
(202) 505-3626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015782
VA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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