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Organization
PRODUCTIVE LIVES MENTAL HEALTH SERVICES
Active
Organization
PRODUCTIVE LIVES MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOWANNA MONIQUE MILLER JOHNSON M.E.D. (OWNER)
(443) 415-1937
Entity
Organization
Contact information
Practice address
25 DUNVALE RD APT 543, TOWSON, MD 21204-2741
(443) 415-1937
Mailing address
25 DUNVALE RD APT 543, TOWSON, MD 21204-2741
(443) 415-1937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/22/2010
Last updated
10/31/2023
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