Individual
MS. SAMANTHA KRISTINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC-S
Contact information
Practice address
5060 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2038
(540) 595-9525
Mailing address
5060 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2038
(540) 595-9525
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
VA
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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