Individual provider · Type 1 NPI

Anjalissa D. Johnson, LCADC, SAP, MAC

Addiction (Substance Use Disorder) Counselor · Sparks Glencoe, MD

NPI number 1891191052 Active

Practice location

14 Rainflower Path Unit 201
Sparks Glencoe, MD 21152-8792

Call (443) 983-5001 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCA3226 (MD)

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

About NPI 1891191052

Anjalissa D. Johnson, LCADC, SAP, MAC's National Provider Identifier is 1891191052, issued on Nov 14, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sparks Glencoe, MD. The record was last updated on Jun 30, 2026.