Individual
KIVAN S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 E 2ND ST APT 406, RICHMOND, VA 23224-4397
(757) 339-8202
Mailing address
103 E 2ND ST APT 406, RICHMOND, VA 23224-4397
(757) 339-8202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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