Provider Demographics
NPI:1134212426
Name:JOHNSTON, NANCY LOHR (LPC, LSATP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LOHR
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:LPC, LSATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CROSSING LANE, SUITE 202
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-6354
Mailing Address - Country:US
Mailing Address - Phone:540-464-1890
Mailing Address - Fax:540-464-4373
Practice Address - Street 1:30 CROSSING LANE, SUITE 202
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-6354
Practice Address - Country:US
Practice Address - Phone:540-464-1890
Practice Address - Fax:540-464-4373
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000137101YA0400X
VA0701001717101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA54-0523-8Medicaid