Healthcare Provider Details

I. General information

NPI: 1356886022
Provider Name (Legal Business Name): ADAM JOHNSON LGPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 01/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 YORK RD SUITE 202
BALTIMORE MD
21212-3610
US

IV. Provider business mailing address

7474 GREENWAY CENTER DR SUITE-730
GREENBELT MD
20770-3504
US

V. Phone/Fax

Practice location:
  • Phone: 301-345-1022
  • Fax: 301-560-5558
Mailing address:
  • Phone: 301-345-1022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP7513
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: