Individual
MR. CALVIN JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC-AD
Contact information
Practice address
26845 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-4935
(240) 309-4015
Mailing address
26845 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-4935
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0569
MD
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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