person
Mr. Mark Elliott Johnson, LCADC,LCPC
Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland
NPI 1487270088

Mark Elliott Johnson is an Addiction (Substance Use Disorder) Counselor based in Baltimore, MD and is specialized in Addiction (Substance Use Disorder). Mark Elliott Johnson practices in Baltimore, MD and has the professional credentials of LCADC,LCPC. The NPI Number for Mark Elliott Johnson is 1487270088 and holds a License No. LC12806 (Maryland).

The current practice location address for Mark Elliott Johnson is 1801 Cherry Hill Rd, Baltimore, MD and can be reached out via phone at 410-354-2800 and via fax at 410-354-2843.

Location: 1801 Cherry Hill Rd, Baltimore, MD, 21239-0261
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Provider Profile Details
NPI Number
1487270088
Provider Name
Mark Elliott Johnson
Credential
LCADC,LCPC
Provider Entity Type
Individual
Gender
Male
Address
1801 Cherry Hill Rd, Baltimore, MD, 21239-0261
Phone Number
410-354-2800
Fax Number
410-354-2843
Provider Enumeration Date
06/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LGA2428 05 MD
institution
Provider Business Practice Location Address Details
Address
1801 Cherry Hill Rd
City
State
Zip
21230-3503
Phone Number
410-354-2800
Fax Number
410-354-2843
person
Provider Business Mailing Address Details
Address
1801 Cherry Hill Rd
City
State
Zip
21230-3503
Phone Number
410-354-2800
Fax Number
410-354-2843
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCA3032 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LC12806 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC12806 (Maryland)
Definition
Definition to come...
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