Johnson, Brooke Lori
Johnson, Brooke Lori is an individual health care provider with primary practice located at 10615 Judicial Dr Ste 301 , Fairfax VA 22030-7501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Brooke Lori can be contacted via phone (703) 424-0410.Contact Information
Primary practice address
10615 Judicial Dr Ste 301
Fairfax VA 22030-7501
Phone: (703) 424-0410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904007293 | Virginia |
Profile Details
| NPI number | 1265724009 |
|---|---|
| LBN Legal business name | Johnson, Brooke Lori |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2011 |
| Last updated | Sep 7th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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