person
Dr. Jake A Johnson, DOCTORATE
Professional Counselor in Bowie, Maryland
NPI 1164625240

Jake A Johnson is a Professional Counselor based in Centreville, MD and is specialized in Professional. Jake A Johnson practices in Bowie, MD and has the professional credentials of DOCTORATE. The NPI Number for Jake A Johnson is 1164625240 and holds a License No. 297 (Maryland).

The current practice location address for Jake A Johnson is 14300 Gallant Fox Ln, Bowie, MD and can be reached out via phone at 301-262-2828 and via fax at 301-262-7637.

Location: 14300 Gallant Fox Ln, Bowie, MD, 20121-5318
person
Provider Profile Details
NPI Number
1164625240
Provider Name
Jake A Johnson
Credential
DOCTORATE
Provider Entity Type
Individual
Gender
Male
Address
14300 Gallant Fox Ln, Bowie, MD, 20121-5318
Phone Number
301-262-2828
Fax Number
301-262-7637
Provider Enumeration Date
06/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14300 Gallant Fox Ln
City
State
Zip
20715-4003
Phone Number
301-262-2828
Fax Number
301-262-7637
person
Provider Business Mailing Address Details
Address
14300 Gallant Fox Ln
City
State
Zip
20715-4003
Phone Number
301-262-2828
Fax Number
301-262-7637
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
297 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
297 (Maryland)
Definition
Definition to come...
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