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1295240984
MICHAEL ANTHONY JOHNSON
NORTH CHESTERFIELD, VA
NPI
1295240984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710101803)
Enumeration Date
2017-12-05
Last Update Date
2017-12-05
Business Address
MICHAEL ANTHONY JOHNSON CSAC
9609 JEFFERSON DAVIS HWY
NORTH CHESTERFIELD, VA 23237-4621
Phone number: 804-275-1116
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Mailing Address
MICHAEL ANTHONY JOHNSON CSAC
9609 JEFFERSON DAVIS HWY
NORTH CHESTERFIELD, VA 23237-4621
Phone number: 804-275-1116
Copy
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