Provider Demographics
NPI:1851864094
Name:JOHNS, ERICA GENEVIEVE (LPC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:GENEVIEVE
Last Name:JOHNS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 COVINGTON CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3899
Mailing Address - Country:US
Mailing Address - Phone:703-609-5229
Mailing Address - Fax:
Practice Address - Street 1:253 C STREET
Practice Address - Street 2:CAMP PENDLETON
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451
Practice Address - Country:US
Practice Address - Phone:757-491-5932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007667101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor