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NPI Code Detail

MEDICARE: MR. JAMES ALLEN JOHNSON JR. ED.S., LMFT, BCN

MEDICARE:  MR. JAMES ALLEN JOHNSON JR. ED.S., LMFT, BCN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2106H00000XMarriage & Family Therapist0717002157VA
3101YP1600XPastoral Counselor

General Provider Information

NPI Number : 1548513807
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES ALLEN JOHNSON JR. ED.S., LMFT, BCN
Provider Business Mailing Address
First Line : 4224 QUAILSHIRE CT
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-3197
Country : US
Telephone Number : 757-589-0293
Fax Number :
Provider Business Practice Location Address
First Line : 4360 SHORE DR STE 101
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-2994
Country : US
Telephone Number : 757-251-0879
Fax Number : 984-220-9437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2012
Last Update Date : 01/14/2026

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Directions to “ MR. JAMES ALLEN JOHNSON JR. ED.S., LMFT, BCN” Practice Location

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