Samuel James Johnson Jr.
Counselor in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1003663923
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1003663923
- Entity type
- Individual (NPI-1)
- Name
- Mr. Samuel James Johnson Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2024
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2524 Hidden Shores Dr Apt 103Virginia Beach, VA 23454-3239
Phone 757-235-1811
Mailing address
2524 Hidden Shores Dr Apt 103Virginia Beach, VA 23454-3239
Phone 757-235-1811
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