Provider Demographics
NPI:1699856104
Name:JOHNSTON, DIANE DULING (LPC)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:DULING
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 LOUDOUN ST SW STE B
Mailing Address - Street 2:130
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-2934
Mailing Address - Country:US
Mailing Address - Phone:703-771-0911
Mailing Address - Fax:703-771-9811
Practice Address - Street 1:7 LOUDOUN ST SW STE B
Practice Address - Street 2:130
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-2934
Practice Address - Country:US
Practice Address - Phone:703-771-0911
Practice Address - Fax:703-771-9811
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002058101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional