Doctor Name: | MS. ANDREA COURTNEY JOHNSON |
NPI Number: | 1407233927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LGPC |
License Number: | LGP4968 |
Business Practice Address: | 37 Main St Reisterstown, MD - 211361236 |
Business Phone Number: | 4105263554 |
Business Fax Number: | |
Mailing Address: | 125 Willow Bend Dr, Apt 2a OWINGS MILLS |
State: | MD |
Postal Code: | 211172667 |
Phone Number: | 7162286609 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2015 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LGP4968 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |