Individual
MS. KAREN S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCPC, LCMFT, LM
Contact information
Practice address
14300 CHERRY LANE CT STE 203, LAUREL, MD 20707
(240) 360-2647
(757) 240-5936
Mailing address
14300 CHERRY LANE CT STE 203, LAUREL, MD 20707-4979
(240) 360-2647
(757) 240-5936
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701002130
VA
101YP2500X
Professional Counselor
0701002130
VA
101YP2500X
Professional Counselor
0717000984
VA
101YP2500X
Professional Counselor
Primary
LC6230
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010060346
—
VA
Enumeration date
12/22/2006
Last updated
08/23/2018
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