Individual
MS. BETTY JEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(415) 424-4266
(415) 520-6633
Mailing address
3231 SUPERIOR LN STE A6, BOWIE, MD 20715-1939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP10785
MD
101YP2500X
Professional Counselor
Primary
LC13182
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356099774
NPI
MD
Enumeration date
03/15/2022
Last updated
04/01/2024
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