MICHAEL ANTHONY JOHNSON

NORTH CHESTERFIELD, VA
NPI1295240984
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: VA  0710101803)
Enumeration Date2017-12-05
Last Update Date2017-12-05
Business Address
MICHAEL ANTHONY JOHNSON CSAC
9609 JEFFERSON DAVIS HWY
NORTH CHESTERFIELD, VA 23237-4621
Phone number: 804-275-1116
Mailing Address
MICHAEL ANTHONY JOHNSON CSAC
9609 JEFFERSON DAVIS HWY
NORTH CHESTERFIELD, VA 23237-4621
Phone number: 804-275-1116
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