Individual
TONYIA DEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LCADC, LCPC
Contact information
Practice address
3235 LEONARDTOWN RD, WALDORF, MD 20601-3614
(301) 645-4336
Mailing address
15310 CHRISTY LN, WALDORF, MD 20601-4304
(301) 645-4336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA168
MD
101YM0800X
Mental Health Counselor
LC5980
MD
101YP1600X
Pastoral Counselor
LC5980
MD
Other
Enumeration date
10/22/2007
Last updated
08/24/2015
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