Individual
JACQUELYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 CENTRAL HILLS CT, LANDOVER, MD 20785-4371
(301) 326-6387
Mailing address
6800 CENTRAL HILLS CT, LANDOVER, MD 20785-4371
(301) 326-6387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC1766
MD
Other
Enumeration date
02/08/2013
Last updated
01/11/2024
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