Individual
MRS. CHANA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
9660 IRON LEAF TRL, LAUREL, MD 20723-5878
(301) 490-1011
Mailing address
3901 LAUSANNE RD, RANDALLSTOWN, MD 21133-4511
(410) 496-4648
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP9683
MD
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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