Individual
DR. VICTOR GATISMOND JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., M.A., L.P.C.
Contact information
Practice address
7021 REDMILES RD, LAUREL, MD 20707-3265
(301) 498-0031
Mailing address
7021 REDMILES RD, LAUREL, MD 20707-3265
(301) 498-0031
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC 256
DC
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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