Johnson, Karen S
Johnson, Karen S is an individual health care provider with primary practice located at 14300 Cherry Lane Ct Ste 203 , Laurel MD 20707. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Karen S can be contacted via phone (240) 360-2647.Contact Information
Primary practice address
14300 Cherry Lane Ct Ste 203
Laurel MD 20707
Phone: (240) 360-2647
Fax: (757) 240-5936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0701002130 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701002130 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0717000984 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC6230 | Maryland |
Profile Details
| NPI number | 1447315288 |
|---|---|
| LBN Legal business name | Johnson, Karen S |
| Credentials | LPC, LCPC, LCMFT, LM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Aug 23rd, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447315288 | NPPES |
| Virginia | MEDICAID | 010060346 |
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