MEDICARE: FELESHA JOHNSON LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LC7552	MD

General Provider Information

NPI Number	:	1922490234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELESHA JOHNSON LCPC

Provider Business Mailing Address
First Line	:	3808 BEDFORD DR
Second Line	:
City	:	NORTH BEACH
State	:	MD
Zip	:	20714-4046
Country	:	US
Telephone Number	:	240-478-9823
Fax Number	:

Provider Business Practice Location Address
First Line	:	3808 BEDFORD DR
Second Line	:
City	:	NORTH BEACH
State	:	MD
Zip	:	20714-4046
Country	:	US
Telephone Number	:	240-478-9823
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2015
Last Update Date	:	02/21/2026

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