Organization
AMANDA SOVIK-JOHNSTON
Active
Other names
Active & Connected Family Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BEDLION (HR ASSISTANT)
(434) 202-4080
Entity
Organization
Contact information
Practice address
141 EDNAM DR STE 104, CHARLOTTESVILLE, VA 22903-4629
(434) 202-4080
Mailing address
141 EDNAM DR STE 104, CHARLOTTESVILLE, VA 22903-4629
(434) 202-4080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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