Organization
PRINCE WILLIAM FAMILY COUNSELING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIDA FALINE JOHNSON A.P.R.N., B.C (LICENSED CLINICAL NURSE SPECIALIST)
(703) 330-9933
Entity
Organization
Contact information
Practice address
9625 SURVEYOR CT, MANASSAS, VA 20110-4422
(703) 330-9933
Mailing address
9625 SURVEYOR CT, MANASSAS, VA 20110-4422
(703) 330-9933
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
364SP0809X
VA
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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