Provider Demographics
NPI:1356009583
Name:JOHNSON, ALEASE BASKFIELD (LPC, NCC)
Entity type:Individual
Prefix:
First Name:ALEASE
Middle Name:BASKFIELD
Last Name:JOHNSON
Suffix:
Gender:
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9509 HULL STREET RD STE B
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-1494
Mailing Address - Country:US
Mailing Address - Phone:804-404-6260
Mailing Address - Fax:
Practice Address - Street 1:9509 HULL STREET RD STE B
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-1494
Practice Address - Country:US
Practice Address - Phone:804-404-6260
Practice Address - Fax:804-414-6036
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-05
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011040101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional