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Individual

PAMELA C JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CACAD

Contact information

Practice address
6730 HOLABIRD AVE STE 201, DUNDALK, MD 21222-1700
(443) 376-5785
(443) 376-5715
Mailing address
124 IRONWOOD CT, ROSEDALE, MD 21237-4071
(410) 776-4373

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/09/2020
Last updated
09/09/2020
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