Individual
MRS. DANIELLE H JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12533 ADOBE CIR, LUSBY, MD 20657-4505
(540) 819-1286
Mailing address
12533 ADOBE CIR, LUSBY, MD 20657-4505
(540) 819-1286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC2348
MD
101YP2500X
Professional Counselor
Primary
LC9648
MD
Other
Enumeration date
07/07/2021
Last updated
07/08/2021
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