Individual
CYNTHIA MALIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 BOONE BLVD STE 500, VIENNA, VA 22182-2681
(703) 714-9524
Mailing address
8300 BOONE BLVD STE 500, VIENNA, VA 22182-2681
(703) 714-9524
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
A60819460
VA
3747P1801X
Personal Care Attendant
Primary
G162992
WV
Other
Enumeration date
12/20/2019
Last updated
02/24/2023
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