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Individual

MS. SHALAYNA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
410 CEDAR ST NW APT A, WASHINGTON, DC 20012-1915
(202) 291-6568
Mailing address
PO BOX 524, LAUREL, MD 20725-0524

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PSYA00299
DC
101YP2500X
Professional Counselor
103K00000X
Behavior Analyst
106H00000X
Marriage & Family Therapist
171M00000X
Case Manager/Care Coordinator
174400000X
Specialist
175T00000X
Peer Specialist
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
01/30/2020
Last updated
02/16/2021
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