Individual
ROXANE BLANCHARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9520 BERGER RD STE 203, COLUMBIA, MD 21046-1543
(410) 290-6940
(443) 279-0537
Mailing address
120 SISTER PIERRE DR STE 403, TOWSON, MD 21204-7536
(410) 823-6408
(443) 279-0537
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7096
MD
1041C0700X
Clinical Social Worker
LC7096
MD
Other
Enumeration date
01/12/2017
Last updated
07/02/2019
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