Organization
REFLECTIVE MINDS MENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE JOHNSON JR. CRNP-PMH (OWNER)
(803) 261-2342
Entity
Organization
Contact information
Practice address
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602-3231
(301) 478-8609
Mailing address
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602-3231
(301) 478-8609
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
12/24/2021
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