Individual
DR. TIFFANY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16703 GOVERNOR BRIDGE RD APT 203, BOWIE, MD 20716-3678
(240) 441-3344
Mailing address
16703 GOVERNOR BRIDGE RD APT 203, BOWIE, MD 20716-3678
(240) 441-3344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC9678
MD
Other
Enumeration date
08/09/2020
Last updated
06/10/2021
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