Individual provider · Type 1 NPI
Takea Johnson, LCPC
Professional Counselor · Glen Burnie, MD
NPI number
1679982912
Active
Practice location
8056 Montague Ct
Glen Burnie, MD 21061-4912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LC6866 (MD) |
| Counselor | 101Y00000X | LGP5530 (MD) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1679982912
Takea Johnson, LCPC's National Provider Identifier is 1679982912, issued on Aug 12, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glen Burnie, MD. The record was last updated on Aug 8, 2023.