Healthcare Provider Details

I. General information

NPI: 1366377384
Provider Name (Legal Business Name): EJ COUNSELING & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44679 ENDICOTT DR # 3090
ASHBURN VA
20147-5567
US

IV. Provider business mailing address

44679 ENDICOTT DR # 3090
ASHBURN VA
20147-5567
US

V. Phone/Fax

Practice location:
  • Phone: 703-596-0011
  • Fax:
Mailing address:
  • Phone: 703-596-0011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: EUNMEE JOHNSON
Title or Position: CEO
Credential: LPC
Phone: 703-596-0011