Individual
BIANCA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 N PAYSON ST, BALTIMORE, MD 21223-1143
(202) 286-0919
Mailing address
530 N PAYSON ST, BALTIMORE, MD 21223-1143
(202) 286-0919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP11652
MD
101YP2500X
Professional Counselor
Primary
LC16984
MD
101YP2500X
Professional Counselor
LGP11652
MD
Other
Enumeration date
10/12/2023
Last updated
09/24/2025
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