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Individual

MRS. MARYCYNTHIAGRACE JOHNSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, M.S. , NCC

Contact information

Practice address
7214 CALM SUNSET, COLUMBIA, MD 21046-3400
(848) 391-3670
Mailing address
M&M BEHAVIORAL HEALTH SOLUTIONS, 1406 S. CRAIN HIGHWAY, STE. 104, GLEN BURNIE, MD 21061-3400
(410) 766-6624

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC10498
MD

Other

Enumeration date
08/19/2021
Last updated
12/06/2022
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