Individual
MRS. NANCY LOUISE JOHNSON
Active
Individual
MRS. NANCY LOUISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W, CAC, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710000655
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
89215
VA
1041C0700X
Clinical Social Worker
Primary
0904003420
VA
1041C0700X
Clinical Social Worker
LC14026
ME
Other
Enumeration date
12/19/2005
Last updated
08/02/2016
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