Johnson, Debra Joyce

Johnson, Debra Joyce is an sole proprietor health care provider with primary practice located at 1401 Mercantile Ln Suite 200-Q, Largo MD 20774-4301. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Debra Joyce can be contacted via phone (443) 418-8614.

Contact Information

Primary practice address
1401 Mercantile Ln Suite 200-Q Largo MD 20774-4301
Phone: (443) 418-8614
Fax: (301) 322-9199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC3809 Maryland

Profile Details

NPI number 1932403714
LBN Legal business name Johnson, Debra Joyce
Credentials MS., NCC, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2011
Last updated Aug 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932403714 NPPES
Maryland MEDICAID 040457800
Maryland Other AC04

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