| Joe T. Johnson, Lcsw Llc | |
|
404 Chatham Sq Park Square Office Park Fredericksburg VA 22405-2544 | |
| (540) 373-1200 | |
| (540) 373-1283 |
| Full Name | Joe T. Johnson, Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 404 Chatham Sq Park, Fredericksburg, Virginia |
| Authorized Official Name and Position | Joe Thomas Johnson (SOLE PROPRIETOR) |
| Authorized Official Contact | 5408091589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joe T. Johnson, Lcsw Llc 10323 Edinburgh Dr Spotsylvania VA 22553-1733 Ph: (540) 809-1589 | Joe T. Johnson, Lcsw Llc 404 Chatham Sq Park Square Office Park Fredericksburg VA 22405-2544 Ph: (540) 373-1200 |
| NPI Number | 1770903379 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 04/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770903379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003387 (Virginia) | Primary |
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