Individual
MR. DERRICK JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LRIC
Contact information
Practice address
4460 CORPORATION LN STE 300, VIRGINIA BEACH, VA 23462-3150
(757) 376-8167
(757) 452-4447
Mailing address
4460 CORPORATION LN STE 300, VIRGINIA BEACH, VA 23462-3150
(757) 376-8167
(757) 452-4447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704017428
VA
Other
Enumeration date
10/10/2024
Last updated
12/02/2025
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