Individual
MR. LUKE JOHANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
LGPC
Contact information
Practice address
5000 THAYER CTR STE COAKLAND, OAKLAND, MD 21550-1139
(240) 230-7724
Mailing address
PO BOX 204, MECHANICSVILLE, MD 20659-0204
(216) 376-0633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP16155
MD
101YM0800X
Mental Health Counselor
Primary
LGP16155
MD
106H00000X
Marriage & Family Therapist
LGP16155
MD
Other
Enumeration date
02/10/2025
Last updated
04/10/2025
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