| Doctor Name: | JOHN B NORRIS |
| NPI Number: | 1154765386 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LGPC |
| License Number: | AC1810 |
| Business Practice Address: | 6100 Radio Station Road La Plata, MD - 206462924 |
| Business Phone Number: | 3016099887 |
| Business Fax Number: | 3016097284 |
| Mailing Address: | Po Box 2924, LA PLATA |
| State: | MD |
| Postal Code: | 206462984 |
| Phone Number: | 3016099887 |
| Fax Number: | 3016099091 |
| NPI Enumeration Date: | 04/18/2013 |
| NPI Last Update Date: | 04/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | AC1810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |