Individual
JOHANNA DAYANARA CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4060 GATEWAY DR APT 5115, FAIRFAX, VA 22030-5078
(510) 499-6066
Mailing address
4060 GATEWAY DR, FAIRFAX, VA 22030-5061
(510) 499-6066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904019833
VA
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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