Individual
MS. ANDREA COURTNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
143 MAIN ST, REISTERSTOWN, MD 21136-1249
(443) 712-7777
Mailing address
9913 CERVINE LN, APT 201, RANDALLSTOWN, MD 21133-1933
(716) 228-6609
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7220
MD
Other
Enumeration date
05/05/2015
Last updated
02/21/2017
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