Mrs Virginia Lynn Johnson, LPC | |
26 Harold Bundy Rd, Du Bois, PA 15801-7132 | |
(814) 590-9988 | |
Not Available |
Full Name | Mrs Virginia Lynn Johnson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 26 Harold Bundy Rd, Du Bois, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649787433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC010122 (Pennsylvania) | Primary |
Entity Name | Cen Clear Child Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841289733 PECOS PAC ID: 9436258860 Enrollment ID: O20070625000752 |
Mailing Address | Practice Location Address |
---|---|
Mrs Virginia Lynn Johnson, LPC 26 Harold Bundy Rd, Du Bois, PA 15801-7132 Ph: (814) 590-9988 | Mrs Virginia Lynn Johnson, LPC 26 Harold Bundy Rd, Du Bois, PA 15801-7132 Ph: (814) 590-9988 |
Elaine M. Boal, B. A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 | |
Pamela S Brunelli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-375-0120 | |
Letasha Anne Tedrow, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-375-0120 | |
Melissa Lynn Baird, B. S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 | |
Shannon L Lucas, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-371-3671 | |
Ms. Tara Leigh Collins, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-375-0120 | |
Shannon R Lange, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 S Brady St Ste 205, Du Bois, PA 15801 Phone: 814-371-1088 Fax: 814-371-4966 |