Individual
MRS. SHAWNNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
2457 BEAVER CROSSING RD, EDGEWOOD, MD 21040-1327
(410) 414-3328
Mailing address
2457 BEAVER CROSSING RD, EDGEWOOD, MD 21040-1327
(410) 414-3328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP12041
MD
101YP2500X
Professional Counselor
Primary
LC16424
MD
Other
Enumeration date
10/19/2021
Last updated
04/29/2025
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