NPI 1003663923

Samuel James Johnson

Practitioner Counselor Virginia Beach, VA

Practice location

Address: 2524 Hidden Shores Dr APT 103, Virginia Beach, VA 23454-3239
Phone: (757) 235-1811

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1003663923
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2024
Record last updated: 30 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.