Individual provider · Type 1 NPI

Kathryn Alicia Johnson, BS, CAC-AD

Addiction (Substance Use Disorder) Counselor · Waldorf, MD

NPI number 1215430541 Active

Practice location

21 Industrial Park Dr Ste 104D
Waldorf, MD 20602-2751

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAC2456 (MD)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1215430541

Kathryn Alicia Johnson, BS, CAC-AD's National Provider Identifier is 1215430541, issued on Mar 13, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waldorf, MD. The record was last updated on Mar 13, 2018.