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Mr. Dalton James Johnson JR., LCPC
Mental Health Counselor in Waldorf, Maryland
NPI 1861694051

Dalton James Johnson JR. is a Mental Health Counselor based in Waldorf, MD and is specialized in Mental Health. Dalton James Johnson JR. practices in Waldorf, MD and has the professional credentials of LCPC. The NPI Number for Dalton James Johnson JR. is 1861694051 and holds a License No. (Maryland).

The current practice location address for Dalton James Johnson JR. is 4660 Prestancia Pl Apt 107, Waldorf, MD and can be reached out via phone at 301-645-5460.

Location: 4660 Prestancia Pl Apt 107, Waldorf, MD, 20602-4119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861694051
Provider Name
Dalton James Johnson JR.
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
4660 Prestancia Pl Apt 107, Waldorf, MD, 20602-4119
Phone Number
301-645-5460
Fax Number
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
303902100 05 MD
institution
Provider Business Practice Location Address Details
Address
4660 Prestancia Pl Apt 107
City
Waldorf
State
Maryland
Zip
20602-4119
Phone Number
301-645-5460
Fax Number
person
Provider Business Mailing Address Details
Address
4660 Prestancia Pl Apt 107
City
Waldorf
State
Maryland
Zip
20602-4119
Phone Number
301-645-5460
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LCO791 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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