Individual
JASON PAUL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
5901 MONTROSE RD APT N105, NORTH BETHESDA, MD 20852-4721
(301) 500-0406
Mailing address
14101 STURTEVANT RD, SILVER SPRING, MD 20905-4446
(301) 500-0406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC11815
MD
Other
Enumeration date
07/20/2021
Last updated
07/31/2024
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