Individual
MRS. DANA LYNNE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
289 INDEPENDENCE BLVD, SUITE 221, VIRGINIA BEACH, VA 23462-5493
(757) 498-9320
(757) 498-9321
Mailing address
289 INDEPENDENCE BLVD, SUITE 221, VIRGINIA BEACH, VA 23462-5493
(757) 498-9320
(757) 498-9321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005428
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780668319
UBH--UNITED BEHAVIORAL HEALTH
VA
05
—
1780668319
—
VA
01
—
190001977
MEDICARE
VA
01
—
307780
ANTHEM
VA
01
—
341849
TRICARE
VA
01
—
O803341M
OPTIMA
VA
Enumeration date
12/06/2005
Last updated
07/02/2015
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