Provider Demographics
NPI:1457231425
Name:JOHNSON, JESSICA VIRGINIA (LPC)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:VIRGINIA
Last Name:JOHNSON
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 1:3297 ARGENT BLVD
Mailing Address - Street 2:UNIT 102
Mailing Address - City:RIDGELAND
Mailing Address - State:SC
Mailing Address - Zip Code:29936
Mailing Address - Country:US
Mailing Address - Phone:843-212-6651
Mailing Address - Fax:
Practice Address - Street 1:3297 ARGENT BLVD
Practice Address - Street 2:UNIT 102
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936
Practice Address - Country:US
Practice Address - Phone:843-212-6651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health