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Gregory Dylan Johnson
Mental Health Counselor in Stafford, Virginia
NPI 1164274106

Gregory Dylan Johnson is a Mental Health Counselor based in Stafford, VA and is specialized in Mental Health. Gregory Dylan Johnson practices in Stafford, VA. The NPI Number for Gregory Dylan Johnson is 1164274106 and holds a License No. 0704015419 (Virginia).

The current practice location address for Gregory Dylan Johnson is 306 Garrisonville Rd Ste 201, Stafford, VA and can be reached out via phone at 540-602-7615.

Location: 306 Garrisonville Rd Ste 201, Stafford, VA, 22554-1575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164274106
Provider Name
Gregory Dylan Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
306 Garrisonville Rd Ste 201, Stafford, VA, 22554-1575
Phone Number
540-602-7615
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
306 Garrisonville Rd Ste 201
City
Stafford
State
Virginia
Zip
22554-1575
Phone Number
540-602-7615
Fax Number
person
Provider Business Mailing Address Details
Address
306 Garrisonville Rd Ste 201
City
Stafford
State
Virginia
Zip
22554-1575
Phone Number
540-602-7615
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0704015419 (Virginia)
Definition
Definition to come...
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