Carl Johnson JR.

NPI #1124843859 in Baltimore, Maryland

Provider Information

NPI Number: 1124843859
Entity Type: Individual
Name: Carl Johnson JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 18, 2024
Last Updated: Nov 22, 2024

Practice Location

Address: 116 N PACA ST
City: Baltimore
State: Maryland
ZIP Code: 21201-1714
Phone: (240) 501-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Peer Specialist	175T00000X	Primary

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