Individual
JASMYNE EVELYN GARLAND JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7225 HANOVER PKWY STE C, GREENBELT, MD 20770-2024
(240) 459-3074
Mailing address
12222 QUADRILLE LN, BOWIE, MD 20720-4386
(240) 593-2209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP9398
MD
Other
Enumeration date
07/03/2021
Last updated
07/03/2021
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