Individual
MALIK DEVON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4317 HARFORD RD, BALTIMORE, MD 21214-3118
(443) 708-5310
Mailing address
3317 MCELDERRY ST, BALTIMORE, MD 21205-2820
(443) 597-6027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC11606
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-3876389
—
MD
Enumeration date
06/15/2020
Last updated
01/27/2022
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