Individual
MISS ASIA MARIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LCPC
Contact information
Practice address
3238 BELAIR RD., 1, BALTO., MD 21213
(443) 405-1095
(443) 766-1713
Mailing address
2001 FITZWARREN PL., TI, BALTO, MD 21209
(410) 982-1353
(301) 868-2032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2133
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410126000
—
MD
Enumeration date
07/27/2006
Last updated
12/20/2016
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