Ebony Johnson
NPI #1134917818 in Prince George, Virginia
Provider Information
- NPI Number
- 1134917818
- Entity Type
- Individual
- Name
- Ebony Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Apr 30, 2025
- Last Updated
- Apr 30, 2025
Practice Location
- Address
- 4601 BAILEYS RIDGE DR APT 6
- City
- Prince George
- State
- Virginia
- ZIP Code
- 23875-1457
- Phone
- (804) 605-3963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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