Individual
TAKEA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8056 MONTAGUE CT, GLEN BURNIE, MD 21061-4912
(443) 306-3394
Mailing address
8056 MONTAGUE CT, GLEN BURNIE, MD 21061-4912
(443) 306-3394
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP5530
MD
101YP2500X
Professional Counselor
Primary
LC6866
MD
Other
Enumeration date
08/12/2014
Last updated
08/08/2023
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