Individual
JUAN JOHNSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2008 MOSBY AVE, GWYNN OAK, MD 21207-5910
(443) 942-5699
Mailing address
2008 MOSBY AVE, GWYNN OAK, MD 21207-5910
(443) 942-5699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT1281
MD
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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