| Doctor Name: | MS. LYNNE JOHNSON |
| NPI Number: | 1295009421 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-C,LCSW,SAP, NCA |
| License Number: | 0710000262 |
| Business Practice Address: | 400 Scruggs Rd Suite 400 Moneta, VA - 241212577 |
| Business Phone Number: | 5408558793 |
| Business Fax Number: | 5405249027 |
| Mailing Address: | 484 Key West St, MONETA |
| State: | VA |
| Postal Code: | 241213360 |
| Phone Number: | 5408558793 |
| Fax Number: | 5405249027 |
| NPI Enumeration Date: | 03/06/2012 |
| NPI Last Update Date: | 03/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0710000262 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |