Individual
MS. SYNTHIA DIANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1030 KEARNEY ST NE, WASHINGTON, DC 20017-3518
(202) 529-9299
(202) 529-2262
Mailing address
1030 KEARNEY ST NE, WASHINGTON, DC 20017-3518
(202) 529-9299
(202) 529-2262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC301568
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107752
AMERIGROUP
DC
01
—
7625047
AETNA
DC
01
—
A-716
CARE FIRST BLUE CROSS
DC
Enumeration date
03/08/2007
Last updated
11/03/2024
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