Changing Generational Legacies,llc

NPI #1598012155 in Largo, Maryland

Provider Information

NPI Number
1598012155
Entity Type
Organization
Organization Name
Changing Generational Legacies,llc
Primary Specialty
Counselor - Professional
Enumeration Date
Aug 13, 2012
Last Updated
Aug 13, 2012

Practice Location

Address
1401 MERCANTILE LN
Address 2
SUITE 200-Q
City
Largo
ZIP Code
20774-4301
Phone
(301) 322-4141

Authorized Official

Name
MS. DEBRA JOYCE JOHNSON, MS, LCPC
Title
CEO, FOUNDER
Phone
(301) 322-4141

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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