Individual
MR. DALTON JAMES JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.P.C.
Contact information
Practice address
4660 PRESTANCIA PL APT 107, WALDORF, MD 20602-4119
(301) 645-5460
Mailing address
4660 PRESTANCIA PL APT 107, WALDORF, MD 20602-4119
(301) 645-5460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCO791
MD
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303902100
—
MD
Enumeration date
06/01/2007
Last updated
12/18/2018
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