Organization
LINDA P. JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA P. JOHNSON (LCSW)
(703) 541-1606
Entity
Organization
Contact information
Practice address
12890 HARBOR DR, WOODBRIDGE, VA 22192-2921
(706) 541-1606
(703) 670-9453
Mailing address
12890 HARBOR DR, WOODBRIDGE, VA 22192-2921
(706) 541-1606
(703) 670-9453
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0904002629
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010100046
—
VA
Enumeration date
08/08/2007
Last updated
05/04/2012
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