Individual
REBECCA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 ROLAND AVE STE 301, BALTIMORE, MD 21210-2347
(814) 574-7413
Mailing address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(814) 574-7413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP16048
MD
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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