Individual
MELVIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC-AD
Contact information
Practice address
10903 INDIAN HEAD HWY STE 504, FORT WASHINGTON, MD 20744-4012
(240) 766-4194
(301) 485-0363
Mailing address
10903 INDIAN HEAD HWY STE 504, FORT WASHINGTON, MD 20744-4012
(240) 766-4194
(301) 485-0363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC1032
MD
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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