Andre R Johnson, LCPC, OT

NPI #1699111500 in Severn, Maryland

Provider Information

NPI Number
1699111500
Entity Type
Individual
Name
Andre R Johnson, LCPC, OT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LCPC, OT
Enumeration Date
May 17, 2013
Last Updated
Jun 21, 2024

Practice Location

Address
7717 PECAN LEAF RD
City
Severn
ZIP Code
21144-6938
Phone
(410) 303-2055

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Counselor - ProfessionalProfessional

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