Most Relevant Information
Provider Data
| NPI Number: | 1003548629 |
| Provider Name: | MEGAN LEA JOHNSON LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 0701011152 |
Most Important Dates
| Enumeration Date: | 06/30/2022 |
| Last Updated: | 06/30/2022 |
Provider Practice Location
707 GITTINGS ST STE 120
SUFFOLK
VA
234346101
Practice Location Phone/Fax
| Phone: | 7575143248 |
| Fax: |
Provider Mailing Location
269 S 9TH ST APT 407
PHILADELPHIA
PA
191075863
Provider Mailing Phone/Fax
| Phone: | 8042154931 |
| Fax: |